Provider Demographics
NPI:1619900883
Name:VEERARAGHAVAN, GOWRI (MD)
Entity Type:Individual
Prefix:DR
First Name:GOWRI
Middle Name:
Last Name:VEERARAGHAVAN
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 1:250 ROUTE 28 STE 100
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1979
Mailing Address - Country:US
Mailing Address - Phone:908-237-4135
Mailing Address - Fax:908-237-4136
Practice Address - Street 1:250 ROUTE 28 STE 100
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-1979
Practice Address - Country:US
Practice Address - Phone:908-237-4135
Practice Address - Fax:908-237-4136
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD429391207R00000X
NJ25MA08715800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine