Provider Demographics
NPI:1578569398
Name:GOHEL, RAKA CHAUHAN (MD)
Entity Type:Individual
Prefix:
First Name:RAKA
Middle Name:CHAUHAN
Last Name:GOHEL
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 1:506 GRAHAM DR
Mailing Address - Street 2:240
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-3346
Mailing Address - Country:US
Mailing Address - Phone:281-351-3830
Mailing Address - Fax:281-351-6275
Practice Address - Street 1:506 GRAHAM DR
Practice Address - Street 2:240
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3346
Practice Address - Country:US
Practice Address - Phone:281-351-3830
Practice Address - Fax:281-351-6275
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9057208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX097106101Medicaid
TXG13137Medicare UPIN
TX00956LMedicare PIN
TX5738380001Medicare NSC