Individual
MUKESH GOPALAKRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4475 S 1-19 FRONTAGE RD, SUITE 125, TUCSON, AZ 85614
(520) 648-1139
Mailing address
3709 N CAMPBELL AVE STE 201, TUCSON, AZ 85719-1563
(520) 838-2138
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.057630
IL
207RI0011X
Interventional Cardiology Physician
Primary
53154
AZ
Other
Enumeration date
07/03/2010
Last updated
07/19/2018
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