Basic Information
Provider Information
NPI: 1902928153
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ANIL
FirstName: GOKHAN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 1ST ST SW
Address2:  
City: ROCHESTER
State: MN
PostalCode: 559050001
CountryCode: US
TelephoneNumber: 5072842511
FaxNumber:  
Practice Location
Address1: 1025 MARSH ST
Address2:  
City: MANKATO
State: MN
PostalCode: 56001
CountryCode: US
TelephoneNumber: 5076254031
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/06/2007
LastUpdateDate: 08/01/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/01/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X54657MNY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000X22446WVN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000X50350WIN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207VG0400X22446WVN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
207VX0000X22446WVN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics

No ID Information.


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