MEDICARE: LEKHA H. GOPAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	25MA07246700	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578608048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEKHA H. GOPAL, LLC

Provider Business Mailing Address
First Line	:	10 GEIGER LN
Second Line	:
City	:	WARREN
State	:	NJ
Zip	:	07059-5620
Country	:	US
Telephone Number	:	646-284-1087
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 CORPORATE DR
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-3112
Country	:	US
Telephone Number	:	973-292-1113
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LEKHA H. GOPAL
Credential	:	MD
Telephone Number	:	646-284-1087

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	09/30/2025

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