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NPI Code Detail

MEDICARE: LAKSHMI DEEPIKA GOPALAM MD

MEDICARE: LAKSHMI DEEPIKA GOPALAM MD
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
1207R00000XInternal Medicine PhysicianW1794TX

General Provider Information

NPI Number : 1699401489
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAKSHMI DEEPIKA GOPALAM MD
Provider Business Mailing Address
First Line : PO BOX 661253
Second Line :
City : DALLAS
State : TX
Zip : 75266-1253
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1011 N GALLOWAY AVE
Second Line :
City : MESQUITE
State : TX
Zip : 75149-2433
Country : US
Telephone Number : 214-320-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2022
Last Update Date : 12/17/2025

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Directions to “ LAKSHMI DEEPIKA GOPALAM MD” Practice Location

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