Reddy, Gopal
Reddy, Gopal is an individual health care provider with primary practice located at 500 Walter Ne Suite 204, Albuquerque NM 87102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Reddy, Gopal can be contacted via phone (505) 842-5518.Contact Information
Primary practice address
500 Walter Ne Suite 204
Albuquerque NM 87102
Phone: (505) 842-5518
Fax: (505) 247-8509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | NM77237 | New Mexico |
Profile Details
| NPI number | 1891890620 |
|---|---|
| LBN Legal business name | Reddy, Gopal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Oct 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891890620 | NPPES |
| New Mexico | MEDICAID | 09449 |
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