Pimputkar, Gouri Ravin
Pimputkar, Gouri Ravin is an individual health care provider with primary practice located at 100 N Edinburgh Dr , Winter Park FL 32792-4125. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is her primary health care specialty. Pimputkar, Gouri Ravin can be contacted via phone (407) 645-5565.Contact Information
Primary practice address
100 N Edinburgh Dr
Winter Park FL 32792-4125
Phone: (407) 645-5565
Fax: (407) 647-1135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | GP014942 | Michigan |
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | OS16869 | Florida |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | OS16869 | Florida |
Profile Details
| NPI number | 1578574984 |
|---|---|
| LBN Legal business name | Pimputkar, Gouri Ravin |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Aug 20th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578574984 | NPPES |
| Michigan | MEDICAID | 114809581 | |
| Michigan | Other | BLUE CROSS |
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