Healthcare Provider Details

I. General information

NPI: 1083015846
Provider Name (Legal Business Name): RESHMA GOKALDAS MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 12/01/2020
Certification Date: 12/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 GLASGOW DR
CARLSBAD CA
92010-5602
US

IV. Provider business mailing address

2530 GLASGOW DR
CARLSBAD CA
92010-5602
US

V. Phone/Fax

Practice location:
  • Phone: 562-652-0751
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License NumberA138459
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA138459
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: