Nedu Gopala, M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01040752A Issued in IN

Legal business name

NEDU GOPALA, M.D., P.C.

Practice address

3250 N 19TH St
Terre Haute, IN 47804-1444

Phone

(812) 460-0109

NPI assigned

Dec 13, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nedu Gopala, M.D.

Title

Medical Doctor

Phone

(812) 460-0109

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1235407602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 N 19TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478041444",
            "telephone_number": "812-460-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 N 19TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478041444",
            "telephone_number": "812-460-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDU GOPALA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "GOPALA",
        "authorized_official_first_name": "NEDU",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "812-460-0109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01040752A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100384930",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tony K. Nasser, MD
• James Matthew Nave, ATC
• Terra Naylor, PT
• Michael Lanson Neal, ATC, LAT
• Riley Jane Neal
• Ryan Gregory Nees, CADAC II
• Kathryn Neese, RBT
• Mackenzie Rae Neese
• Heide Neice, RBT
• Elizabeth Neil, LAT, ATC

• Internal Medicine Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.