Individual
GOPAKUMAR S NAMBUDIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1629 E DIVISION ST, RIVER FALLS, WI 54022-1571
(715) 307-6430
(715) 307-6405
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
42583
WI
207RX0202X
Medical Oncology Physician
Primary
42583-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34026800
—
WI
Enumeration date
04/20/2006
Last updated
09/03/2024
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