Provider Demographics
NPI:1235238015
Name:GOKHALE, SUMITA (MD)
Entity Type:Individual
Prefix:
First Name:SUMITA
Middle Name:
Last Name:GOKHALE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2234 LEXINGTON RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-8306
Mailing Address - Country:US
Mailing Address - Phone:617-258-5189
Mailing Address - Fax:
Practice Address - Street 1:9 CAMBRIDGE CTR, ROOM 449
Practice Address - Street 2:WHITEHEAD INSTITUTE-BIOMEDICAL RESEARCH
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02142
Practice Address - Country:US
Practice Address - Phone:617-258-5189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD12289207ZC0500X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology