Gopan, Thottathil Viswanathan

Gopan, Thottathil Viswanathan is an individual health care provider with primary practice located at 761 45Th St Ste 110 , Munster IN 46321-2899. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Gopan, Thottathil Viswanathan can be contacted via phone (219) 922-3020.

Contact Information

Primary practice address
761 45Th St Ste 110 Munster IN 46321-2899
Fax: (219) 922-3023
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 01063174 Indiana

Profile Details

NPI number 1023148939
LBN Legal business name Gopan, Thottathil Viswanathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 31st, 2023 - about last year

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 1023148939 NPPES
Indiana MEDICAID 200858530

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