Provider Demographics
NPI:1407302607
Name:GOSAI, FALGUN
Entity Type:Individual
Prefix:
First Name:FALGUN
Middle Name:
Last Name:GOSAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20201 LORAIN RD APT 915
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44126-3499
Mailing Address - Country:US
Mailing Address - Phone:714-865-5650
Mailing Address - Fax:
Practice Address - Street 1:FAIRVIEW HOSPITAL
Practice Address - Street 2:18101 LORAIN ROAD
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-3499
Practice Address - Country:US
Practice Address - Phone:714-865-5650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.027709390200000X
IL036149353207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program