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Individual

GNANAPRAKASH GOPAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2649 SCHOENERSVILLE RD STE 100, BETHLEHEM, PA 18017-7326
(484) 884-8110
Mailing address
701 W UNION BLVD, UNIT 5, BETHLEHEM, PA 18018-3732

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD043751L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001946890
PA
01
0525380000
KEYSTONE EAST
PA
01
080194789
RAILROAD MEDICARE
PA
01
150486
THREE RIVERS/UNISON
PA
01
20029022
AMERIHEALTH MERCY
PA
01
50012813
CAPITAL BLUE CROSS
PA
01
520682
AETNA
PA
01
690625
AMERIHEALTH (IBC)
PA
01
79407
GEISINGER HEALTH PLAN
PA
01
98280
LOCAL 825 FUND
PA
01
P005058
GATEWAY HEALTH PLAN
PA
Enumeration date
05/12/2006
Last updated
03/24/2023
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