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NPI Code Detail

MEDICARE: DR. PAPAIAH GOPAL MD

MEDICARE:  DR. PAPAIAH  GOPAL  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
1208100000XPhysical Medicine & Rehabilitation Physician73310MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1073310OTHERTUFTS
22084790OTHERUS HEALTH CARE
3J10317OTHERBCBS INDIVIDUAL
480639OTHERHARVARD PILGRIM
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6M18968OTHERBCBS GROUP

General Provider Information

NPI Number : 1760407050
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAPAIAH GOPAL MD
Provider Business Mailing Address
First Line : 6 MAPLEWOOD RD
Second Line :
City : MIDDLETON
State : MA
Zip : 01949-2474
Country : US
Telephone Number : 978-825-8675
Fax Number : 978-745-9062
Provider Business Practice Location Address
First Line : 323 LOWELL ST
Second Line :
City : ANDOVER
State : MA
Zip : 01810-4659
Country : US
Telephone Number : 978-794-1946
Fax Number : 978-975-3925
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 10/23/2024

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Directions to “ DR. PAPAIAH GOPAL MD” Practice Location

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