Organization
NEDU GOPALA, M.D., P.C.
Active
Organization
NEDU GOPALA, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEDU GOPALA M.D. (MEDICAL DOCTOR)
(812) 460-0109
Entity
Organization
Contact information
Practice address
3250 N 19TH ST, TERRE HAUTE, IN 47804-1444
(812) 460-0109
Mailing address
3250 N 19TH ST, TERRE HAUTE, IN 47804-1444
(812) 460-0109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01040752A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100384930
—
IN
Enumeration date
12/13/2011
Last updated
12/13/2011
Update your record
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