Provider Demographics
NPI:1245593490
Name:GOHEL, MAYURKUMAR M (MD)
Entity Type:Individual
Prefix:
First Name:MAYURKUMAR
Middle Name:M
Last Name:GOHEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17821-1623
Mailing Address - Country:US
Mailing Address - Phone:914-414-3382
Mailing Address - Fax:
Practice Address - Street 1:116 DEFENSE HWY STE 202
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7045
Practice Address - Country:US
Practice Address - Phone:410-224-0270
Practice Address - Fax:410-224-0273
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD040673207RG0300X
MDD0079692207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine