Provider Demographics
NPI:1619105863
Name:GOHARI, JANAN ANISSA (MD)
Entity Type:Individual
Prefix:DR
First Name:JANAN
Middle Name:ANISSA
Last Name:GOHARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JANAN
Other - Middle Name:ANISSA
Other - Last Name:MOHAMED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4601 MARTIN LUTHER KING JR AVE SW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-1131
Mailing Address - Country:US
Mailing Address - Phone:202-373-5840
Mailing Address - Fax:800-244-5344
Practice Address - Street 1:4601 MARTIN LUTHER KING JR AVE SW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-1131
Practice Address - Country:US
Practice Address - Phone:202-373-5840
Practice Address - Fax:800-244-5344
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD040634207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease