Individual
GOPIKA MYNENI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12368 STRATFORD DR, SUITE 300, CLIVE, IA 50325-8162
(515) 226-9810
(515) 226-8408
Mailing address
12368 STRATFORD DR, SUITE 300, CLIVE, IA 50325-8162
(515) 226-9810
(515) 226-8408
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35237
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2460584
—
IA
Enumeration date
04/26/2006
Last updated
07/08/2007
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