Individual
ANU GOPALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7300 N FRESNO ST, FRESNO, CA 93720-2942
(559) 448-4500
Mailing address
10542 N SIERRA VISTA AVE, FRESNO, CA 93730-5961
(516) 205-2142
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21096
CA
207P00000X
Emergency Medicine Physician
25MB11162300
NJ
207P00000X
Emergency Medicine Physician
5151010361
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0787078
—
NJ
Enumeration date
03/26/2018
Last updated
10/02/2023
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