Individual
DR. PALLAVI PADMAPRIYA GOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK ST # EP2-631, NEW HAVEN, CT 06510-3220
(203) 785-6424
(203) 785-3585
Mailing address
275 MARCELLA LN, MEDIA, PA 19063-2249
(267) 325-4634
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
57170
CT
207ZP0101X
Anatomic Pathology Physician
57170
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD444701
PA
Other
Enumeration date
05/13/2009
Last updated
12/08/2017
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