Healthcare Provider Details

I. General information

NPI: 1710937545
Provider Name (Legal Business Name): GOPINATH S SUNIL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 N LITCHFIELD RD STE 120
GOODYEAR AZ
85395-7802
US

IV. Provider business mailing address

3000 N LITCHFIELD RD STE 120
GOODYEAR AZ
85395-7802
US

V. Phone/Fax

Practice location:
  • Phone: 623-398-2222
  • Fax:
Mailing address:
  • Phone: 623-398-2222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number27344
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: