Krishnan Gopal MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD038578L Issued in PA

Legal business name

KRISHNAN GOPAL MD

Practice address

575 Coal Valley Road
Suite 301
Clairton, PA 15025

Phone

(412) 466-7450

Fax

(412) 466-0588

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Krishnan A Gopal, MD

Title

Owner

Phone

(412) 466-7450

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1679584379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY ROAD",
            "address_2": "SUITE 301",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "15025",
            "telephone_number": "412-466-7450",
            "fax_number": "412-466-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY ROAD",
            "address_2": "SUITE 301",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "15025",
            "telephone_number": "412-466-7450",
            "fax_number": "412-466-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHNAN GOPAL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "GOPAL",
        "authorized_official_first_name": "KRISHNAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-466-7450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD038578L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007104530002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Clairton, PA
• Providers in Clairton, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.