Gopalan, Radha S
Gopalan, Radha S is an sole proprietor health care provider with primary practice located at 5 E 98Th St 3Rd Floor, New York NY 10029-6501. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Gopalan, Radha S can be contacted via phone (212) 427-1540.Contact Information
Primary practice address
5 E 98Th St 3Rd Floor
New York NY 10029-6501
Phone: (212) 427-1540
Fax: (212) 410-7196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 271514 | New York |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD065957L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 37954 | Arizona |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | MD065957L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology | 207RA0001X | 37954 | Arizona |
Profile Details
| NPI number | 1043280787 |
|---|---|
| LBN Legal business name | Gopalan, Radha S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Dec 29th, 2021 - about 4 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 | 1043280787 | NPPES |
| Arizona | Other | 86080015085054D001 | TRICARE |
| Arizona | MEDICAID | 307101 | TRICARE |
| Arizona | Other | P00473343 | TRICARE |
| Arizona | MEDICAID | 001855929 | TRICARE |
| Arizona | Other | 232359401 | TRICARE |
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