Krishnan A Gopal, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

MD-038578L Issued in PA

Practice address

575 Coal Valley Rd
Ste 301
Clairton, PA 15025-3730

Phone

(412) 466-7450

Fax

(412) 466-0588

NPI assigned

Aug 17, 2005

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 22, 2008.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1780676643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD",
            "address_2": "STE 301",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253730",
            "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 RD",
            "address_2": "STE 301",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253730",
            "telephone_number": "412-466-7450",
            "fax_number": "412-466-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPAL",
        "first_name": "KRISHNAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "PA",
            "license": "MD-038578L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007104530002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Stephanie George, DPT
• Carmen P Gioia, D.C.
• Scott Glazier, M.D.
• Elizabeth Casey Gold, RDN, LDN
• Peter J Goldberg, PAC
• Amy Gramz, CNM
• George J Grisnik, O.D.
• Guillermo Borrero MD & Associates, PC
• Guillermo Borrero, M.D. & Associates, PC
• John Hackel

• All providers in Clairton, PA
• Colon & Rectal Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.