Individual
MALAVALLI GOPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1153 CENTRE ST, BOSTON, MA 02130-3446
(617) 522-6010
Mailing address
9 NORTHEASTERN BLVD STE 400, SALEM, NH 03079-1996
(800) 927-0002
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
38054
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065053
—
MA
Enumeration date
09/20/2005
Last updated
04/05/2026
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