# DR. RADHA S GOPALAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1043280787
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0001X | Advanced Heart Failure and Transplant Cardiology Physician | 37954 | AZ | Yes |
| 207RC0000X | Cardiovascular Disease Physician | 271514 | NY | — |
| 207RC0000X | Cardiovascular Disease Physician | 37954 | AZ | — |
| 207RC0000X | Cardiovascular Disease Physician | MD065957L | PA | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | MD065957L | PA | — |

## Other

- **Enumeration date:** 01/25/2006
- **Last updated:** 04/25/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001855929 | — | PA |
| 01 | — | 232359401 | MAIN LINE HEALTHCARE | PA |
| 05 | — | 307101 | — | AZ |
| 01 | — | 86080015085054D001 | TRICARE | AZ |
| 01 | — | P00473343 | RAILROAD MEDICARE | AZ |