Individual
DR. NAMITA R GOPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
415 SUTTON LN, OWENSBORO, KY 42301-0372
(270) 744-9600
(270) 744-0834
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-0834
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21933
KY
207QA0505X
Adult Medicine Physician
21933
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64219330
—
KY
Enumeration date
10/02/2006
Last updated
10/26/2010
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