Provider Demographics
NPI:1790792893
Name:GOKLI, KHYATI (MD)
Entity Type:Individual
Prefix:DR
First Name:KHYATI
Middle Name:
Last Name:GOKLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KHYATI
Other - Middle Name:
Other - Last Name:MAJMUNDAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:91 CASTLETON RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-1655
Mailing Address - Country:US
Mailing Address - Phone:609-924-7997
Mailing Address - Fax:609-924-7997
Practice Address - Street 1:MCCOSH HEALTH CENTER PRINCETON UNIVERSITY
Practice Address - Street 2:WASHINGTON ROAD
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08544-1044
Practice Address - Country:US
Practice Address - Phone:609-258-3640
Practice Address - Fax:609-257-0976
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA54792207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine