Individual
DR. TEOFILO GOZAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 PENNSYLVANIA AVE STE 204, CHARLESTON, WV 25302-3389
(304) 388-2980
Mailing address
506 S 6TH ST, LEESVILLE, LA 71446-4482
(337) 239-2234
(337) 239-2238
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
15440R
LA
207Y00000X
Otolaryngology Physician
Primary
35888
WV
207Y00000X
Otolaryngology Physician
80003
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1461334
—
LA
05
—
1598764102
—
WV
Enumeration date
07/15/2005
Last updated
02/10/2026
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