Provider Demographics
NPI:1538265707
Name:TARCHAND, GOBIND RAM (PA-C)
Entity type:Individual
Prefix:MR
First Name:GOBIND
Middle Name:RAM
Last Name:TARCHAND
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:19142 EVENSTON DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55024-6604
Mailing Address - Country:US
Mailing Address - Phone:651-460-3775
Mailing Address - Fax:612-725-2149
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:VAMC, 111E
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-467-4129
Practice Address - Fax:612-725-2149
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2016-05-02
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Provider Licenses
StateLicense IDTaxonomies
MN9920363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant