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Individual

GOPINATHAN GANGADHARAN NAMBIAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2901 OLD JACKSONVILLE RD, SPRINGFIELD, IL 62704-7437
(217) 698-9722
(217) 391-0392
Mailing address
2901 OLD JACKSONVILLE RD, SPRINGFIELD, IL 62704-7437
(217) 698-9722
(217) 391-0392

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036142874
IL
208000000X
Pediatrics Physician
64787
TN
2080P0206X
Pediatric Gastroenterology Physician
64787
TN

Other

Enumeration date
05/07/2015
Last updated
07/16/2025
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