Individual
GOPIKRISHNA MITNALA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(781) 624-8000
Mailing address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(781) 624-8000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
03/22/2024
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