T. Gopal & Associates, M.D., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K5966 Issued in TX

Legal business name

T. GOPAL & ASSOCIATES, M.D., P.A.

Doing business as

South Belt Medical Clinic

Practice address

10594 Fuqua St
Houston, TX 77089-1402

Phone

(281) 484-3500

Fax

(281) 484-3517

NPI assigned

May 16, 2007

Last updated

Jul 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thandavarajan Gopalakrishnan, M.D.NPI 1194786137

Title

Owner

Phone

(281) 484-3500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• South Belt Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thandavarajan Gopalakrishnan, M.D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1194786137
  Medicare reassignment Care Compare group NPD Authorized official
• Subhadra Bandhakavi, M.D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1356383152
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1316154073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10594 FUQUA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770891402",
            "telephone_number": "281-484-3500",
            "fax_number": "281-484-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10594 FUQUA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770891402",
            "telephone_number": "281-484-3500",
            "fax_number": "281-484-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. GOPAL & ASSOCIATES, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "GOPALAKRISHNAN",
        "authorized_official_first_name": "THANDAVARAJAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-484-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K5966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MC #T GOPAL & ASSOC",
            "identifier": "00506U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC UPIN DR. BALASUBRAMANI",
            "identifier": "I04507",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Belt Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.