Gosla, Fakirmohmed Mahmed

Gosla, Fakirmohmed Mahmed is an sole proprietor health care provider with primary practice located at 15 Vacaville , Irvine CA 92602. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Gosla, Fakirmohmed Mahmed can be contacted via phone (714) 389-2535.

Contact Information

Primary practice address
15 Vacaville Irvine CA 92602
Phone: (714) 389-2535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X AFE33960 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X AFE33960 California

Profile Details

NPI number 1528239571
LBN Legal business name Gosla, Fakirmohmed Mahmed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2008
Last updated Mar 18th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528239571 NPPES
California MEDICAID 3864816

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