Myneni, Gopika

Myneni, Gopika is an individual health care provider with primary practice located at 12368 Stratford Dr Suite 300, Clive IA 50325-8162. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Myneni, Gopika can be contacted via phone (515) 226-9810.

Contact Information

Primary practice address
12368 Stratford Dr Suite 300 Clive IA 50325-8162
Fax: (515) 226-8408
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35237 Iowa

Profile Details

NPI number 1366409195
LBN Legal business name Myneni, Gopika
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - about 17 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 1366409195 NPPES
Iowa MEDICAID 2460584

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