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Individual

GOPAL KRISHNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
705 RILEY HOSPITAL DR, RI 2001, INDIANAPOLIS, IN 46202-5200
(317) 944-9981
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01024634
IN
207LP3000X
Pediatric Anesthesiology Physician
Primary
01024634
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100324670
IN
Enumeration date
05/14/2006
Last updated
11/30/2020
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