Provider Demographics
NPI:1497843494
Name:GOKANI, RAMNIK RANCHHODDAS (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMNIK
Middle Name:RANCHHODDAS
Last Name:GOKANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RAMNIK
Other - Middle Name:
Other - Last Name:GOKANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5909 W 35TH ST
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:IL
Mailing Address - Zip Code:60804-4163
Mailing Address - Country:US
Mailing Address - Phone:708-652-2040
Mailing Address - Fax:708-652-0058
Practice Address - Street 1:5909 W 35TH ST
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:IL
Practice Address - Zip Code:60804-4163
Practice Address - Country:US
Practice Address - Phone:708-652-2040
Practice Address - Fax:708-652-0058
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3650290207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL034OtherCHICAGO HEALTH SYSTEMS (CHS)
IL110061753OtherRR MEDICARE PIN
IL3650290OtherSTATE LICENSE
IL289582OtherWELLCARE HMO
IL003650290OtherBLUE SHIELD
IL003650290OtherBLUE SHIELD
IL3650290OtherSTATE LICENSE
ILD12771Medicare UPIN