Gopal, Sanjeev

Gopal, Sanjeev is an individual health care provider with primary practice located at 6424 E Broadway Rd 104-105, Mesa AZ 85206-1750. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gopal, Sanjeev can be contacted via phone (602) 802-8700.

Contact Information

Primary practice address
6424 E Broadway Rd 104-105 Mesa AZ 85206-1750
Phone: (602) 802-8700
Fax: (602) 802-8799
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 276077 New York

Profile Details

NPI number 1003821430
LBN Legal business name Gopal, Sanjeev
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jun 4th, 2015 - about 10 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 1003821430 NPPES
Arizona Other 1710322946 Z159340
Arizona Other 1003821430 Z159340
Arizona MEDICAID 178311 Z159340
Arizona Other 7905050 Z159340
Arizona Other 5336171 Z159340
Arizona Other P00853763 Z159340
Arizona Other 206531 Z159340
Arizona Other 3Z4309 Z159340

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