Individual
DR. RADHA S GOPALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-9300
(602) 839-2720
Mailing address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-9300
(602) 839-2720
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
37954
AZ
207RC0000X
Cardiovascular Disease Physician
271514
NY
207RC0000X
Cardiovascular Disease Physician
37954
AZ
207RC0000X
Cardiovascular Disease Physician
MD065957L
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD065957L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001855929
—
PA
01
—
232359401
MAIN LINE HEALTHCARE
PA
05
—
307101
—
AZ
01
—
86080015085054D001
TRICARE
AZ
01
—
P00473343
RAILROAD MEDICARE
AZ
Enumeration date
01/25/2006
Last updated
04/25/2025
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