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Individual

DR. GOPALA DWARAKANATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 HOSPITAL DR, LOWELL, MA 01852-1311
(978) 618-5550
(978) 937-6842
Mailing address
290 BROADWAY 104, METHUEN, MA 01844-6827
(978) 683-5115
(978) 683-7337

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
50393
MA
207L00000X
Anesthesiology Physician
9652
NH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
50393
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
9652
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003232
NHP
MA
01
0108621Y0MA01
ANTHEM
NH
01
20-00178
UHC
MA
01
20-01286
EVERCARE
MA
01
26794
FCHP
MA
01
275207
HPHC
MA
05
30005579
NH
05
3011330
MA
01
4451978
AETNA
MA
01
705679
THP
MA
01
8984154-001
CIGNA
MA
01
J05943
BCBSMA
MA
Enumeration date
09/26/2005
Last updated
10/23/2015
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