| Doctor Name: | DR. ABOLGHASSEM MASUD GOHARI |
| NPI Number: | 1598786840 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | D0018165 |
| Business Practice Address: | 5915 Greenbelt Rd Berwyn Heights, MD - 207402259 |
| Business Phone Number: | 3014745300 |
| Business Fax Number: | 3014413200 |
| Mailing Address: | 5915 Greenbelt Rd, BERWYN HEIGHTS |
| State: | MD |
| Postal Code: | 207402259 |
| Phone Number: | 3014745300 |
| Fax Number: | 3014413200 |
| NPI Enumeration Date: | 07/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | D0018165 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |