Individual
DR. NANDA K GOPALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7848 GATEWAY BLVD E, EL PASO, TX 79915-1815
(915) 599-1313
(915) 599-1701
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
M2416
TX
207RX0202X
Medical Oncology Physician
M2416
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06556213
—
NM
05
—
176321101
—
TX
05
—
176321102
—
TX
05
—
176321103
—
TX
01
—
8S7057
BLUE CROSS OF TX
TX
Enumeration date
06/02/2006
Last updated
04/24/2014
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