Provider Demographics
NPI:1710629720
Name:GOR, RAJVI (MD)
Entity type:Individual
Prefix:DR
First Name:RAJVI
Middle Name:
Last Name:GOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RAJVI
Other - Middle Name:
Other - Last Name:KANSAGARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14888 NORMANS CAY CIR, APT 316
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33559
Mailing Address - Country:US
Mailing Address - Phone:718-918-5642
Mailing Address - Fax:718-918-3174
Practice Address - Street 1:17 DAVIS BLVD., SUITE 308
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606
Practice Address - Country:US
Practice Address - Phone:718-918-5642
Practice Address - Fax:718-918-3174
Is Sole Proprietor?:No
Enumeration Date:2022-04-11
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program