Individual
SRIKUMAR GOPALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 15TH ST NW, NORTON, VA 24273-1615
(276) 328-2511
Mailing address
PO BOX 12666, ROANOKE, VA 24027-2666
(276) 679-9666
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101036224
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007238151
—
VA
Enumeration date
06/08/2006
Last updated
08/23/2011
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