Healthcare Provider Details

I. General information

NPI: 1225968282
Provider Name (Legal Business Name): NEAL KAUSHAL GOKLI LSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12500 E ILIFF AVE
AURORA CO
80014-1268
US

IV. Provider business mailing address

10100 ELIDA RD
DELPHOS OH
45833-9056
US

V. Phone/Fax

Practice location:
  • Phone: 970-494-5891
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW.0009924451
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: