Provider Demographics
NPI:1982915492
Name:DHROOVE, GATI NIRANJAN (MBBS)
Entity Type:Individual
Prefix:
First Name:GATI
Middle Name:NIRANJAN
Last Name:DHROOVE
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CENTRACARE CLINIC RIVER CAMPUS
Mailing Address - Street 2:1200 6TH AVENUE NORTH
Mailing Address - City:ST CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-2735
Mailing Address - Country:US
Mailing Address - Phone:320-252-5131
Mailing Address - Fax:320-240-2146
Practice Address - Street 1:CENTRACARE CLINIC RIVER CAMPUS
Practice Address - Street 2:1200 6TH AVENUE NORTH
Practice Address - City:ST CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-2735
Practice Address - Country:US
Practice Address - Phone:320-252-5131
Practice Address - Fax:320-240-2146
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA40685207R00000X
MN63637207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine