Provider Demographics
NPI:1568671782
Name:GOVIL, HARSH (MD, MPH)
Entity Type:Individual
Prefix:
First Name:HARSH
Middle Name:
Last Name:GOVIL
Suffix:
Gender:M
Credentials:MD, MPH
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 1845
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28687-1845
Mailing Address - Country:US
Mailing Address - Phone:704-978-4025
Mailing Address - Fax:704-873-1962
Practice Address - Street 1:1404 FERN CREEK DR
Practice Address - Street 2:SUITE# 300
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28625-2862
Practice Address - Country:US
Practice Address - Phone:704-978-4025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.089725202C00000X
NC2010-00414208100000X, 208VP0000X, 2081P2900X
NC2010-0414208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1568671782Medicaid
NC2076098Medicare PIN