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General NPI Number Information
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NPI Number | 1831197458
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Entity Type | Individual
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Provider Name | AMIRA F GOHARA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 12/28/2017
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Provider Practice Location Address
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Address Line | 3000 ARLINGTON AVE
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City | TOLEDO
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State | OH
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Zip | 43614-2595
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Country | US
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Telephone | 419-383-3470
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Fax | 419-383-6130
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Provider Business Mailing Address
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Address Line | 3355 GLENDALE AVE FL 3
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City | TOLEDO
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State | OH
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Zip | 43614-2426
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Country | US
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Telephone | 419-383-3470
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Fax | 419-383-6130
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZI0100X
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Taxonomy Name | Immunopathology Physician
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License Number | 35034334
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 35034334
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License Number State | OH
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