Provider Demographics
NPI:1235205014
Name:GOHIL, PRATAPSINH (DPM)
Entity Type:Individual
Prefix:
First Name:PRATAPSINH
Middle Name:
Last Name:GOHIL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3098
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46904-3098
Mailing Address - Country:US
Mailing Address - Phone:765-453-7788
Mailing Address - Fax:765-453-5828
Practice Address - Street 1:209 CORWIN LN
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-6612
Practice Address - Country:US
Practice Address - Phone:765-453-7788
Practice Address - Fax:765-453-5828
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-25
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07000473213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000085359OtherANTHEM
IN1006219OtherTRICARE
IN4095170OtherAETNA
IN000000085359OtherANTHEM
363780AMedicare PIN