Individual
GOKUL GONDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1655 BERNARDIN AVE, SUITE 350, COLUMBIA, SC 29204-2039
(803) 865-4780
(803) 865-4932
Mailing address
1655 BERNARDIN AVE, SUITE 350, COLUMBIA, SC 29204-2039
(803) 865-4780
(803) 865-4932
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23834
SC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
23834
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
23834
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182689
AETNA
SC
01
—
238344
SELECT HEALTH
SC
05
—
238344
—
SC
Enumeration date
10/15/2006
Last updated
09/22/2022
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