Individual
DR. DEEPA MANGALAT GOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
732 HARRISON AVENUE, FL 3, PRESTON BLDG, BOSTON, MA 02118-2309
(617) 638-7490
(617) 414-8742
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
240115
MA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
240115
MA
207RC0000X
Cardiovascular Disease Physician
Primary
240115
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110097682A
—
MA
05
—
3111620
—
NH
Enumeration date
01/18/2008
Last updated
05/15/2026
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