Healthcare Provider Details

I. General information

NPI: 1902195795
Provider Name (Legal Business Name): ANKIT GULATI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2011
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 MOBILE INFIRMARY CIR STE 410
MOBILE AL
36607-3512
US

IV. Provider business mailing address

5 MOBILE INFIRMARY CIR
MOBILE AL
36607-3513
US

V. Phone/Fax

Practice location:
  • Phone: 251-435-2400
  • Fax:
Mailing address:
  • Phone: 251-435-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number184096
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: