Provider Demographics
NPI:1679653992
Name:GOHEL, REKHA M (MD)
Entity type:Individual
Prefix:DR
First Name:REKHA
Middle Name:M
Last Name:GOHEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:REKHA
Other - Middle Name:M
Other - Last Name:VAGHELA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:318 PROFESSIONAL VIEW DR
Mailing Address - Street 2:318
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-7904
Mailing Address - Country:US
Mailing Address - Phone:732-409-6440
Mailing Address - Fax:732-409-6466
Practice Address - Street 1:318 PROFESSIONAL VIEW DR
Practice Address - Street 2:318
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-7904
Practice Address - Country:US
Practice Address - Phone:732-409-6440
Practice Address - Fax:732-409-6466
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07451500207RA0000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8957908Medicaid
NJ60311A1VMedicare ID - Type UnspecifiedMEDICARE NUMBER
NJH717771Medicare UPIN