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General NPI Number Information
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NPI Number | 1073627014
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Entity Type | Individual
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Provider Name | NIRMALA GOPALAN MD
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Gender | Female
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2400 MOORPARK AVE GERIATRIC CLINIC
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City | SAN JOSE
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State | CA
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Zip | 95128-2631
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Country | US
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Telephone | 408-885-4622
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Fax |
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Provider Business Mailing Address
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Address Line | 10025 ORANGE AVE
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City | CUPERTINO
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State | CA
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Zip | 95014-2836
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Country | US
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Telephone | 408-725-9731
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A86051
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | A86051
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License Number State | CA
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