Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | SPI601 | CA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 47537 | TX |
N | 208G00000X | Cardiothoracic Vascular Surgeon | SPI601 | CA |
NPI | 1457909160 |
---|---|
Provider Name | Gopinath Perumal |
First Address | San Francisco, CA 94143-2350 |
Second Address | San Francisco, CA 94143-2350 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2019 |
Last Update Date | 08/12/2021 |