Organization
GOUDAR CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAN HIRE GOUDAR MD (PRESIDENT)
(757) 489-3911
Entity
Organization
Contact information
Practice address
110 KINGSLEY LN, SUITE 209, NORFOLK, VA 23505-4614
(757) 489-3911
(757) 889-3913
Mailing address
110 KINGSLEY LN, SUITE 209, NORFOLK, VA 23505-4614
(757) 489-3911
(757) 889-3913
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101030509
VA
Other
Enumeration date
09/25/2006
Last updated
11/20/2007
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