Derebail, Gopala Krishna

Derebail, Gopala Krishna is an individual health care provider with primary practice located at 417 W 3Rd Ave , Albany GA 31701-1943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Derebail, Gopala Krishna can be contacted via phone (229) 317-2207.

Contact Information

Primary practice address
417 W 3Rd Ave Albany GA 31701-1943
Phone: (229) 317-2207
Fax: (229) 317-2214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 014307 Georgia

Profile Details

NPI number 1194710723
LBN Legal business name Derebail, Gopala Krishna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated May 14th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194710723 NPPES
Georgia MEDICAID 000077316M
Georgia Other 52635244002
Georgia MEDICAID 000077316Q
Georgia Other 364830
Georgia Other 511I930105
Georgia Other 52635244-005
Georgia Other 000077316T
Georgia Other 930123518

Popular Providers