# DR. GOURI RAVIN PIMPUTKAR

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

## Provider details

- **NPI number:** 1578574984
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | GP014942 | MI | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | OS16869 | FL | — |
| 207VX0000X | Obstetrics Physician | OS16869 | FL | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 08/20/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 114809581 | — | MI |
| 01 | — | BLUE CROSS | 1656314165 | MI |