Individual
DR. MEKALA RAMGOPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2124 CAMP RD, FAR ROCKAWAY, NY 11691-2721
(718) 327-0207
(718) 327-1225
Mailing address
82 REGENT DR, LIDO BEACH, NY 11561-4923
(516) 431-8081
(516) 432-8484
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
138691
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00394069
—
NY
Enumeration date
11/13/2006
Last updated
01/05/2008
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