Individual
GOPALA KRISHNA BALAPPA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MRCP
Contact information
Practice address
1305 AIRPORT FWY STE 424, BEDFORD, TX 76021-6608
(817) 510-1060
(817) 510-9940
Mailing address
1615 PRECINCT LINE RD STE 103, HURST, TX 76054-3345
(817) 510-1060
(817) 510-9940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD444491
PA
207RC0000X
Cardiovascular Disease Physician
R7860
TX
207RI0011X
Interventional Cardiology Physician
Primary
R7860
TX
208M00000X
Hospitalist Physician
MD444491
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406235802
—
—
Enumeration date
09/18/2008
Last updated
08/12/2022
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