Sridhar, Gopalan
Sridhar, Gopalan is an individual health care provider with primary practice located at 555 Raymond St , Reading PA 19605-3149. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Sridhar, Gopalan can be contacted via phone (610) 921-1111.Contact Information
Primary practice address
555 Raymond St
Reading PA 19605-3149
Phone: (610) 921-1111
Fax: (610) 921-2419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD423219 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD423219 | Pennsylvania |
Profile Details
| NPI number | 1063403764 |
|---|---|
| LBN Legal business name | Sridhar, Gopalan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Dec 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063403764 | NPPES |
| Pennsylvania | MEDICAID | 100888848 |
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