Hussam El Gohary MD a Professional Corporation

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A37602 Issued in CA

Legal business name

HUSSAM EL GOHARY MD A PROFESSIONAL CORPORATION

Practice address

2001 Dwight Way RM 2350
Berkeley, CA 94704-2608

Phone

(510) 204-4738

Fax

(510) 204-5892

NPI assigned

Aug 16, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hussam Ibrahim Elgohary, M.D.

Title

Owner

Phone

(510) 964-0458

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1598070435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 SHATTUCK AVE",
            "address_2": "#363",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041517",
            "telephone_number": "510-964-0458",
            "fax_number": "510-964-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 DWIGHT WAY RM 2350",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042608",
            "telephone_number": "510-204-4738",
            "fax_number": "510-204-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUSSAM EL GOHARY MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "ELGOHARY",
        "authorized_official_first_name": "HUSSAM",
        "authorized_official_middle_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-964-0458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A37602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A376021",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Hunter
• J. Pearce Hurley, M.D.
• Jose Luis Hurtado
• Kristen Erin Hurvitz, LCSW
• Kathryn Mary Huryk, PHD
• Lindsay M Huston, MD
• Solomon Edward Hutchings, MA
• Holly Renee Hutchison, PSYD
• John Franklin Hutchison, RN
• Elaine Hutsinpiller, D.C.

• Physical Medicine & Rehabilitation Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.