Dandamudi, Gopi
Dandamudi, Gopi is an individual health care provider with primary practice located at 1802 Yakima Ave Ste 302 , Tacoma WA 98405-5305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Dandamudi, Gopi can be contacted via phone (253) 627-1244.Contact Information
Primary practice address
1802 Yakima Ave Ste 302
Tacoma WA 98405-5305
Phone: (253) 627-1244
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD60906281 | Washington |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD433325 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | MD433325 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | MD60906281 | Washington |
Profile Details
| NPI number | 1356500946 |
|---|---|
| LBN Legal business name | Dandamudi, Gopi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2008 |
| Last updated | Mar 18th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356500946 | NPPES |
| Washington | MEDICAID | 2111764 |
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