Organization
MEKALA RAMGOPAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEKALA RAMGOPAL M.D. (PRESIDENT)
(516) 431-2656
Entity
Organization
Contact information
Practice address
2124 CAMP RD, FAR ROCKAWAY, NY 11691-2721
(516) 431-2656
(516) 432-8484
Mailing address
82 REGENT DR, LIDO BEACH, NY 11561-4923
(516) 431-2656
(516) 432-8484
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
138691
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00394069
—
NY
Enumeration date
04/23/2007
Last updated
10/29/2008
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