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Individual

DR. GOPAL S GRANDHIGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1315 S HOWARD AVE STE 101, TAMPA, FL 33606-3193
(813) 922-2920
(813) 742-0711
Mailing address
1315 S HOWARD AVE STE 101, TAMPA, FL 33606-3193
(813) 922-2920
(813) 742-0711

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
046718
CT
208600000X
Surgery Physician
Primary
ME105346
FL

Other

Enumeration date
11/28/2007
Last updated
12/16/2022
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