Gosrani Optimal Health PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

97000567 Issued in NC

Legal business name

GOSRANI OPTIMAL HEALTH PLLC

Practice address

118 S Scales St
Reidsville, NC 27320-3834

Phone

(336) 337-6376

Fax

(336) 419-0505

NPI assigned

Sep 8, 2014

Last updated

Jan 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nimish Gosrani, M.D.

Title

Owner

Phone

(336) 337-6376

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1619378841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S SCALES ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273203834",
            "telephone_number": "336-337-6376",
            "fax_number": "336-419-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S SCALES ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273203834",
            "telephone_number": "336-337-6376",
            "fax_number": "336-419-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSRANI OPTIMAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "GOSRANI",
        "authorized_official_first_name": "NIMISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-337-6376",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "97000567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.