Individual
AMBARISH GOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4716 ALLIANCE BLVD., SUITE 340, PLANO, TX 75093
(469) 800-6100
(469) 800-6109
Mailing address
4716 ALLIANCE BLVD., SUITE 340, PLANO, TX 75093-5371
(469) 800-6100
(469) 800-6109
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L9214
TX
207RI0011X
Interventional Cardiology Physician
L9214
TX
Other
Enumeration date
04/01/2008
Last updated
09/17/2016
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