KOHLI PLASTIC SURGERY PC NPI 1104292101

NPI Information

  • NPI: 1104292101
  • Provider Name: KOHLI PLASTIC SURGERY PC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 675 PARAMOUNT DR
    SUITE 304
    RAYNHAM, MA
    ZIP 02767
  • Phone: (978) 255-2354

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NPI Details

KOHLI PLASTIC SURGERY PC is a medical specialty clinic center in Raynham, MA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). KOHLI PLASTIC SURGERY PC NPI is 1104292101. The provider is registered as an organization entity type.

The provider's business location address is:

675 PARAMOUNT DR
SUITE 304
RAYNHAM, MA
ZIP 02767-416
Phone: (978) 255-2354
Fax: (978) 666-0403

The provider's authorized official is Gurmander Singh Kohli .
The authorized official title is President and has the following contact phone number (978) 255-2354.

The enumeration date for this NPI number is 8/13/2015 and was last updated on 8/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty38488MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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