Doctor Name: | DR. KISHORCHANDRA R GONSAI |
NPI Number: | 1043308760 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 036772 |
Business Practice Address: | 950 Campbell Ave Bulding # 36 West Haven, CT - 065162770 |
Business Phone Number: | 2039325711 |
Business Fax Number: | 2039373478 |
Mailing Address: | 44 Cobblestone Dr, HAMDEN |
State: | CT |
Postal Code: | 065181749 |
Phone Number: | 2032487347 |
Fax Number: | 2032487347 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 07/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 036772 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |