Individual
SHANTHI GOPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1901 S 1ST ST, TEMPLE, TX 76504-7451
(254) 743-0789
(254) 743-0004
Mailing address
513 CHEROKEE DR, TEMPLE, TX 76504-3629
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A71661
CA
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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