Provider Demographics
NPI:1942825070
Name:GOPI, GOKUL (MD)
Entity type:Individual
Prefix:DR
First Name:GOKUL
Middle Name:
Last Name:GOPI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 SOUTHWICK RD APT 5M
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-4791
Mailing Address - Country:US
Mailing Address - Phone:732-306-9388
Mailing Address - Fax:
Practice Address - Street 1:342 SOUTHWICK RD APT 5M
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-4791
Practice Address - Country:US
Practice Address - Phone:732-306-9388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-15
Last Update Date:2024-10-22
Deactivation Date:2022-01-18
Deactivation Code:
Reactivation Date:2022-05-12
Provider Licenses
StateLicense IDTaxonomies
FLME169747207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine