Individual
DR. GOPAL K BASISHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 EDGEWATER DR, ORLANDO, FL 32804-6351
(407) 423-5520
Mailing address
1300 EDGEWATER DR, ORLANDO, FL 32804-6351
(407) 423-5520
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME0027658
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056970400
—
FL
Enumeration date
07/25/2006
Last updated
11/20/2008
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