Individual
SANTOSH RAMACHANDRA GOPALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105-4656
(704) 384-9740
(704) 384-9565
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9740
(704) 384-9565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23424
SC
208M00000X
Hospitalist Physician
Primary
2007-01968
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89065T9
—
NC
05
—
T76628
—
SC
Enumeration date
04/26/2006
Last updated
09/28/2022
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