# GOPI MUKKAVILLI, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023379229
- **Authorized official:** MICHELE NAOMI (MANAGER)
- **Authorized official phone:** (609) 482-3701

## Contact information

- **Practice address:** 4065 QUAKERBRIDGE RD, PRINCETON JUNCTION, NJ 08550-5243
- **Practice address phone:** (609) 482-3701
- **Practice address fax:** (609) 482-3702
- **Mailing address:** 4065 QUAKERBRIDGE RD, PRINCETON JUNCTION, NJ 08550-5243
- **Mailing address phone:** (609) 482-3701
- **Mailing address fax:** (609) 482-3702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 06/04/2012
- **Last updated:** 06/04/2012