Individual
AJAY GOHIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 CEDAR ST SE STE 4660, ALBUQUERQUE, NM 87106-4924
(505) 563-6530
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
01036719A
IN
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD2022-0043
NM
2080P0206X
Pediatric Gastroenterology Physician
ME 101913
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015979100
—
FL
05
—
100110370A
—
IN
Enumeration date
11/16/2006
Last updated
02/18/2022
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