Gopal, Ajay Kumar

Gopal, Ajay Kumar is an individual health care provider with primary practice located at Ambulatory Clinic 825 Eastlake Avenue East, Seattle WA 98109. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Gopal, Ajay Kumar can be contacted via phone (206) 288-1000.

Contact Information

Primary practice address
Ambulatory Clinic 825 Eastlake Avenue East Seattle WA 98109
Phone: (206) 288-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD00034592 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00034592 Washington

Profile Details

NPI number 1194801902
LBN Legal business name Gopal, Ajay Kumar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Oct 26th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194801902 NPPES
Washington Other 0231159 L&I
Washington MEDICAID 1194801902 L&I
Washington Other 2000181 L&I

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