# CHICKAHOMINY FAMILY PRACTICE INC

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

## Provider details

- **NPI number:** 1689683724
- **Authorized official:** MR. ANUP GOKLI MD (PHYSICIAN/PARTNER)
- **Authorized official phone:** (804) 932-4388

## Contact information

- **Practice address:** 9010 POCAHONTAS TRL, PROVIDENCE FORGE, VA 23140-3400
- **Practice address phone:** (804) 932-1020
- **Practice address fax:** (804) 966-9712
- **Mailing address:** P.O. BOX 278, PROVIDENCE FORGE, VA 23140-3400
- **Mailing address phone:** (804) 932-1020
- **Mailing address fax:** (804) 966-9712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2006
- **Last updated:** 07/23/2013