Individual
DR. PALANIVELRAJU GOPALAKRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
96 JONATHAN LUCAS ST, CHARLESTON, SC 29425-6110
(843) 792-3368
Mailing address
1850 ASHLEY CROSSING LN, 17 B, CHARLESTON, SC 29414-5711
(843) 847-7393
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
36122
SC
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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