Provider Demographics
NPI:1760439459
Name:GOHEL, NARENDRA DEVISINH (MD)
Entity Type:Individual
Prefix:DR
First Name:NARENDRA
Middle Name:DEVISINH
Last Name:GOHEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:27472 SCHOENHERR RD STE 108
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-6687
Mailing Address - Country:US
Mailing Address - Phone:586-533-5051
Mailing Address - Fax:586-773-0437
Practice Address - Street 1:27472 SCHOENHERR RD STE 108
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-6687
Practice Address - Country:US
Practice Address - Phone:586-533-5051
Practice Address - Fax:586-773-0437
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301044119208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4788060Medicaid