Individual
GOPAL MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.,B.S
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-2888
(574) 364-2544
Mailing address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-2888
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01091556A
IN
2086X0206X
Surgical Oncology Physician
Primary
01091556A
IN
Other
Enumeration date
04/23/2014
Last updated
10/13/2023
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