Gopalan, Keelara T
Gopalan, Keelara T is an individual health care provider with primary practice located at 232 S Woods Mill Rd , Chesterfield MO 63017-3417. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Gopalan, Keelara T can be contacted via phone (314) 542-4798.Contact Information
Primary practice address
232 S Woods Mill Rd
Chesterfield MO 63017-3417
Phone: (314) 542-4798
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 102359 | Missouri |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 102359 | Missouri |
Profile Details
| NPI number | 1164425401 |
|---|---|
| LBN Legal business name | Gopalan, Keelara T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Sep 30th, 2022 - about 2 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 | 1164425401 | NPPES |
| Missouri | MEDICAID | 203620414 |
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