Active NPI
Raja S. Gopalan, M.D.
- Surgery Physician
- Dunkirk, NY
National Provider Identifier
1073644142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 113439
- Practice address
- 608 Central Ave
Dunkirk, NY 14048-2517 - Phone
- (716) 366-7446
- Fax
- (716) 366-7320
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 113439 | NY | Primary |
Addresses
Primary practice location
608 Central Ave
Dunkirk, NY 14048-2517
Mailing address
608 Central Ave
Dunkirk, NY 14048-2517
Phone (716) 366-7446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073644142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 CENTRAL AVE",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140482517",
"telephone_number": "716-366-7446",
"fax_number": "716-366-7320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 CENTRAL AVE",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140482517",
"telephone_number": "716-366-7446",
"fax_number": "716-366-7320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOPALAN",
"first_name": "RAJA",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "113439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunkirk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.