Provider Demographics
NPI:1487949244
Name:SALIM GOPALANI, MD. P.A.
Entity type:Organization
Organization Name:SALIM GOPALANI, MD. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SALIM
Authorized Official - Middle Name:
Authorized Official - Last Name:GOPALANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-802-9024
Mailing Address - Street 1:1631 NORTH LOOP W
Mailing Address - Street 2:SUITE 260
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1528
Mailing Address - Country:US
Mailing Address - Phone:713-802-9024
Mailing Address - Fax:713-802-1868
Practice Address - Street 1:1631 NORTH LOOP W
Practice Address - Street 2:SUITE 260
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1528
Practice Address - Country:US
Practice Address - Phone:713-802-9024
Practice Address - Fax:713-802-1868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6116207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty