Individual
GOKUL YARATHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103
(701) 364-8900
Mailing address
1020 MCBROOM ST., DALLAS, TX 75212-3113
(972) 655-8561
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD463760
PA
208M00000X
Hospitalist Physician
Primary
16087
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/19/2014
Last updated
10/29/2024
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