Gopurala, Balaganesh

Gopurala, Balaganesh is an individual health care provider with primary practice located at 11480 Brookshire Ave Ste 309 , Downey CA 90241-5025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gopurala, Balaganesh can be contacted via phone (562) 869-1201.

Contact Information

Primary practice address
11480 Brookshire Ave Ste 309 Downey CA 90241-5025
Phone: (562) 869-1201
Fax: (562) 869-1281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 00024965 Alabama
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X C139871 California

Profile Details

NPI number 1316967854
LBN Legal business name Gopurala, Balaganesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Mar 17th, 2018 - about 7 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 1316967854 NPPES
Alabama MEDICAID 009936594
Alabama MEDICAID 009936597
Alabama Other 51534632
Alabama MEDICAID 009936596
Alabama Other 51534631
Alabama Other H78600
Alabama Other 51003582
Alabama Other H78600
Alabama Other P00314189

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