Individual
BALAGANESH GOPURALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11480 BROOKSHIRE AVE STE 309, DOWNEY, CA 90241-5025
(562) 869-1201
(562) 869-1281
Mailing address
11480 BROOKSHIRE AVE STE 309, DOWNEY, CA 90241-5025
(562) 869-1201
(562) 869-1281
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
00024965
AL
207RH0003X
Hematology & Oncology Physician
Primary
C139871
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009936594
—
AL
05
—
009936596
—
AL
05
—
009936597
—
AL
01
—
51003582
BLUE CROSS BLUE SHIELD
AL
01
—
51534631
BLUE CROSS BLUE SHIELD
AL
01
—
51534632
BLUE CROSS BLUE SHIELD
AL
01
—
H78600
HEALTHSPRING OF ALABAMA
AL
01
—
P00314189
RAILROAD MEDICARE
AL
Enumeration date
07/20/2006
Last updated
03/17/2018
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