Individual
MR. NEDU GOPALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3250 N 19TH ST, TERRE HAUTE, IN 47804-1444
(812) 460-0109
(812) 460-0209
Mailing address
3250 N 19TH ST, TERRE HAUTE, IN 47804-1444
(812) 460-0109
(812) 460-0209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01040752
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100384930
—
IN
Enumeration date
07/19/2006
Last updated
11/18/2010
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