Veteran Provider Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VETERAN PROVIDER GROUP

Practice address

20 Briarcrest SQ Ste 208
Hershey, PA 17033-2331

Phone

(301) 257-4264

NPI assigned

Jul 16, 2024

Organization subpart

No

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

Authorized official

Name

Ravindra Gopaul, MDNPI 1265879118

Title

Owner

Phone

(301) 257-4264

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ravindra Gopaul, MD

  • Student in an Organized Health Care Education/Training Program
  • Richmond, VA
  • NPI 1265879118
  NPD Authorized official

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1578301487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 GLENMEDE LN",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170229123",
            "telephone_number": "301-257-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BRIARCREST SQ STE 208",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332331",
            "telephone_number": "301-257-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERAN PROVIDER GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "GOPAUL",
        "authorized_official_first_name": "RAVINDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-257-4264",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Robert Veneziano, DO
• Natasha Venugopal
• Thomas Verbeek, MD
• Navin Verma, MD
• Kimberly J Vesek, CRNP
• Nicole Ann Viglietta, CRNA
• Gayathri Vijayakumar
• Genesee Maylee Villalta, PA-C
• Charles Christian Vining, M.D.
• Vista Adult Services Organization

• Internal Medicine Physician in Hershey, PA
• Providers in Hershey, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.