Individual
DR. BHAILAL GOKALBHAI GONDALIA
Active
Individual
DR. BHAILAL GOKALBHAI GONDALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
16592
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073853000
—
WV
01
—
0693121
MEDICARE ID
WV
01
—
0693122
MEDICARE ID
WV
05
—
0827770
—
OH
01
—
161461800
WV WORKERS COMP
WV
01
—
550708689-00
OH WORKERS COMP
OH
Enumeration date
06/04/2006
Last updated
03/17/2022
Update your record
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