Srinivasan, Gopalakrishnan
Srinivasan, Gopalakrishnan is an individual health care provider with primary practice located at 3510 Old Washington Road Suite 100, Waldorf MD 20602-3234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Srinivasan, Gopalakrishnan can be contacted via phone (301) 932-5890.Contact Information
Primary practice address
3510 Old Washington Road Suite 100
Waldorf MD 20602-3234
Phone: (301) 932-5890
Fax: (301) 645-6361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | D0046345 | Maryland |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 101055162 | Virginia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD32794 | District of Columbia |
Profile Details
| NPI number | 1740261924 |
|---|---|
| LBN Legal business name | Srinivasan, Gopalakrishnan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Oct 8th, 2012 - about 13 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 | 1740261924 | NPPES |
| Maryland | MEDICAID | 213500100 |
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