Individual
AJAY KUMAR GOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00034592
WA
207RX0202X
Medical Oncology Physician
Primary
MD00034592
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231159
L&I
WA
05
—
1194801902
—
WA
01
—
2000181
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
10/26/2011
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