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Individual

GANESH GOPALAKRISHNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 HOSPITAL DR, DC018.00, MA202F, COLUMBIA, MO 65212-0001
(573) 882-8006
(573) 884-5396
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-8006
(573) 884-5396

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2007010592
MO

Other

Enumeration date
07/23/2007
Last updated
09/06/2011
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