Basic Information
| Provider Information | |||||||||
| NPI: | 1124018288 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RAI GOHEL | ||||||||
| FirstName: | NITA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5375 WILLIAM FLYNN HWY | ||||||||
| Address2: | |||||||||
| City: | GIBSONIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 150449666 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7244444700 | ||||||||
| FaxNumber: | 7244444730 | ||||||||
| Practice Location | |||||||||
| Address1: | 5375 WILLIAM FLYNN HWY | ||||||||
| Address2: | |||||||||
| City: | GIBSONIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 150449666 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7244444700 | ||||||||
| FaxNumber: | 7244444730 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/28/2005 | ||||||||
| LastUpdateDate: | 10/06/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD058314L | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.