Provider Demographics
NPI:1841085925
Name:GOVANI, NEAL
Entity type:Individual
Prefix:
First Name:NEAL
Middle Name:
Last Name:GOVANI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 N PENNSYLVANIA ST APT 803
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-2395
Mailing Address - Country:US
Mailing Address - Phone:219-276-1467
Mailing Address - Fax:
Practice Address - Street 1:8101 NE PARKWAY DR STE F2
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-2434
Practice Address - Country:US
Practice Address - Phone:360-882-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program