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Individual

SARASWATHI GOPAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2479 BURNT LEAF LN, DECATUR, GA 30033-2806
(917) 359-9459
Mailing address
2479 BURNT LEAF LN, DECATUR, GA 30033-2806
(917) 359-9459

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
095360
OH
207R00000X
Internal Medicine Physician
ME117505
FL
207RN0300X
Nephrology Physician
095360
OH
207RN0300X
Nephrology Physician
Primary
ME117505
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
013697100
FL
Enumeration date
09/23/2010
Last updated
01/22/2015
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