Individual
DR. SANJEEV GOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6424 E BROADWAY RD, 104-105, MESA, AZ 85206-1750
(602) 802-8700
(602) 802-8799
Mailing address
6424 E BROADWAY RD, 104-105, MESA, AZ 85206-1750
(602) 802-8700
(602) 802-8799
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
276077
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003821430
BLUE CROSS BLUE SHIELD
AZ
01
—
1710322946
Z159340
AZ
05
—
178311
—
AZ
01
—
206531
UNIVERSAL
AZ
01
—
3Z4309
HEALTH NET
AZ
01
—
5336171
CIGNA
AZ
01
—
7905050
AETNA
AZ
01
—
P00853763
RAILROAD MEDICARE
AZ
Enumeration date
07/31/2006
Last updated
06/04/2015
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