Individual
AASHA S GOPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
212 JERICHO TPKE, MINEOLA, NY 11501-1613
(516) 663-4480
Mailing address
PO BOX 1012, PORT WASHINGTON, NY 11050-1012
(516) 629-2470
(516) 629-2027
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
169313
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01249247
—
NY
Enumeration date
04/10/2006
Last updated
04/01/2021
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