# KRISHNAJ GOURAB

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538394242
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | D76155 | MD | Yes |
| 2083C0008X | Clinical Informatics Physician | D76155 | MD | — |

## Other

- **Enumeration date:** 05/26/2009
- **Last updated:** 03/22/2019