Abdul Rashid Gangoo, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

23024 Issued in NC

Practice address

810 West King Street
Kings Mountain, NC 28086-2748

Phone

(704) 739-8946

Fax

(704) 739-6443

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1780641571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 WEST KING STREET",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280862748",
            "telephone_number": "704-739-8946",
            "fax_number": "704-739-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 WEST KING STREET",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280862748",
            "telephone_number": "704-739-8946",
            "fax_number": "704-739-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGOO",
        "first_name": "ABDUL",
        "middle_name": "RASHID",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "23024",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "23024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8934472",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Furstein, PHARM.D.
• Courtney A Fussell, FNP
• Todd Gaddis
• Lance H Gaffney, DPT
• Paul Gregg Gambrell, CRNA
• Joshua Brian Garling, PHARMD
• Denise Renee Garver, M.A., NCC, LPC
• Gaston Family Health Services, Inc
• Gaston Family Health Services, Inc
• Gaston Family Health Services, Inc.

• Internal Medicine Physician in Kings Mountain, NC
• Providers in Kings Mountain, 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 17, 2021; 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.