Provider Demographics
NPI:1629131925
Name:SANGITA A GOGATE DO PA
Entity Type:Organization
Organization Name:SANGITA A GOGATE DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SANGITA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GOGATE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-819-1820
Mailing Address - Street 1:7150 W 20TH AVE
Mailing Address - Street 2:216
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5529
Mailing Address - Country:US
Mailing Address - Phone:305-819-1820
Mailing Address - Fax:
Practice Address - Street 1:7150 W 20TH AVE
Practice Address - Street 2:216
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5529
Practice Address - Country:US
Practice Address - Phone:305-819-1820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS6851207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL57428OtherBCBS PROVIDER NUMBER
FLG91068Medicare UPIN
FLK4098Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER