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Individual
GNANAPRAKASH GOPAL
Active
Individual
GNANAPRAKASH GOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD043751L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001946890
—
PA
01
—
0525380000
KEYSTONE EAST
PA
01
—
080194789
RAILROAD MEDICARE
PA
01
—
150486
THREE RIVERS/UNISON
PA
01
—
20029022
AMERIHEALTH MERCY
PA
01
—
50012813
CAPITAL BLUE CROSS
PA
01
—
520682
AETNA
PA
01
—
690625
KEYSTONE CENTRAL
PA
01
—
79407
GEISINGER HEALTH PLAN
PA
01
—
98280
LOCAL 825 FUND
PA
01
—
P005058
GATEWAY HEALTH PLAN
PA
Enumeration date
05/12/2006
Last updated
03/24/2023
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