Gopalani, Anisa Faruk

Gopalani, Anisa Faruk is an individual health care provider with primary practice located at 133 Medical Park Ln Ste B , Huntsville TX 77340-4979. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Gopalani, Anisa Faruk can be contacted via phone (936) 730-8833.

Contact Information

Primary practice address
133 Medical Park Ln Ste B Huntsville TX 77340-4979
Fax: (936) 730-8866
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 00000 Texas

Profile Details

NPI number 1174535033
LBN Legal business name Gopalani, Anisa Faruk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Dec 11th, 2019 - about 5 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 1174535033 NPPES
Texas MEDICAID 185507401

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