Individual
DR. NOOPUR GANGOPADHYAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, BOX 93, CHICAGO, IL 60611-2991
(312) 227-6250
(312) 227-9408
Mailing address
225 E CHICAGO AVE, BOX 93, CHICAGO, IL 60611-2991
(312) 227-6250
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35127143
OH
208600000X
Surgery Physician
2008016446
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143649
—
OH
01
—
P01609639
RAILROAD MEDICARE
OH
Enumeration date
06/30/2008
Last updated
02/21/2017
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