Individual
DR. PRIYA K GOPALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0111
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
2004018552
MO
207RX0202X
Medical Oncology Physician
Primary
ME105473
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001419300
—
FL
Enumeration date
04/04/2007
Last updated
04/09/2013
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