Provider Demographics
NPI:1649445677
Name:GOEL, GATI AJANI (MD)
Entity type:Individual
Prefix:DR
First Name:GATI
Middle Name:AJANI
Last Name:GOEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GATI
Other - Middle Name:
Other - Last Name:AJANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10960 WELLWORTH AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-6263
Mailing Address - Country:US
Mailing Address - Phone:216-233-6740
Mailing Address - Fax:
Practice Address - Street 1:10945 LECONTE AVE
Practice Address - Street 2:UCLA
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-0001
Practice Address - Country:US
Practice Address - Phone:310-206-0449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA115420207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology