# DR. GOPICHAND PENDURTI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578798393
- **Gender:** Man
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | 2016023070 | MO | Yes |
| 207RH0003X | Hematology & Oncology Physician | 279764 | NY | — |

## Other

- **Enumeration date:** 05/22/2009
- **Last updated:** 05/08/2017
