# HUSSAM EL GOHARY MD A PROFESSIONAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598070435
- **Authorized official:** DR. HUSSAM IBRAHIM ELGOHARY M.D. (OWNER)
- **Authorized official phone:** (510) 964-0458

## Contact information

- **Practice address:** 2001 DWIGHT WAY RM 2350, BERKELEY, CA 94704-2608
- **Practice address phone:** (510) 204-4738
- **Practice address fax:** (510) 204-5892
- **Mailing address:** 2342 SHATTUCK AVE, \#363, BERKELEY, CA 94704-1517
- **Mailing address phone:** (510) 964-0458
- **Mailing address fax:** (510) 964-0476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A37602 | CA | Yes |

## Other

- **Enumeration date:** 08/16/2010
- **Last updated:** 11/21/2011