Individual
BHAVINI GOPALDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
17571 N DAM ACCESS RD, WARSAW, MO 65355-6396
(660) 438-2717
(660) 438-2313
Mailing address
305 W MAIN ST, SEDALIA, MO 65301-3821
(660) 310-0909
(888) 979-8868
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02006
KS
363A00000X
Physician Assistant
Primary
2025004414
MO
Other
Enumeration date
08/07/2017
Last updated
03/27/2026
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