Individual
PREMA ANIL GOGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3088 WATERFALL WAY, WESTLAKE, OH 44145
(440) 808-5857
Mailing address
3088 WATERFALL WAY, WESTLAKE, OH 44145
(440) 808-5857
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35.038998
OH
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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