Individual
MALLIKA GOPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1190 5TH AVE FL 1, NEW YORK, NY 10029-6503
(212) 241-5315
Mailing address
1190 5TH AVE FL 1, NEW YORK, NY 10029-6503
(212) 241-5315
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
25MA12229200
NJ
Other
Enumeration date
04/24/2019
Last updated
08/14/2025
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