Individual
DR. KEELARA T GOPALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3417
(314) 542-4798
Mailing address
222 S WOODS MILL RD, STE 550, CHESTERFIELD, MO 63017-3625
(314) 542-4798
(314) 205-6916
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
102359
MO
207L00000X
Anesthesiology Physician
Primary
102359
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203620414
—
MO
Enumeration date
05/31/2005
Last updated
09/30/2022
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