Gothwal, Ritu
Gothwal, Ritu is an individual health care provider with primary practice located at 3262 N Windsong Dr , Prescott Valley AZ 86314-2255. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Gothwal, Ritu can be contacted via phone (928) 771-4788.Contact Information
Primary practice address
3262 N Windsong Dr
Prescott Valley AZ 86314-2255
Phone: (928) 771-4788
Fax: (928) 771-5712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-7611 | Arkansas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD441071 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | 52595 | Arizona |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | MD441071 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 52595 | Arizona |
Profile Details
| NPI number | 1740512805 |
|---|---|
| LBN Legal business name | Gothwal, Ritu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2010 |
| Last updated | Apr 27th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740512805 | NPPES |
| Arizona | MEDICAID | 223558 | |
| Arizona | MEDICAID | 195310001 |
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