Individual
DR. RANJIT GOUDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5900 LAKE WRIGHT DR, NORFOLK, VA 23502-1871
(757) 466-8683
(767) 466-7854
Mailing address
5900 LAKE WRIGHT DR, SUITE 300, NORFOLK, VA 23502-1871
(757) 466-8683
(767) 466-7854
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101246882
VA
207RH0003X
Hematology & Oncology Physician
2008-01301
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467584383
OPTIMA
VA
05
—
1467584383
—
VA
05
—
5914178
—
NC
Enumeration date
03/09/2007
Last updated
04/26/2011
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