Dr. Mohan Hire Goudar , MD
Specialist • Norfolk, VA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mohan Goudar has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Mohan Goudar, MD was a registered Specialist practicing in Norfolk, VA. Throughout an active medical career spanning 14 years, Dr. Goudar provided care at the practice location at 110 KINGSLEY LN until profile deactivation on 2019-02-11.
Practice Location & Contact Primary Location
110 Kingsley Ln
Suite 209
Norfolk, VA 235054614
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Norfolk, VA
Practicing in Norfolk, VA (878 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Acute Care
Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Nurse Practitioner
Nurse Practitioner
Social Worker - Clinical
Licensed Clinical Social Worker
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 11, 2019
NPI status registered as active in NPPES database
Registered at 110 KINGSLEY LN, SUITE 209, NORFOLK, VA 235054614 (Tel: 7574893911)
Registered at 110 KINGSLEY LN, SUITE 209, NORFOLK, VA 235054614 (Tel: 7574893911)
Recorded as MOHAN GOUDAR, MD
Specialist (License #0101030509 in VA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
110 Kingsley Ln, Suite 209
Norfolk, VA 235054614
Phone: 7574893911
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