Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A86051 | CA |
N | 111NI0900X | Internist | A86051 | CA |
N | 207RG0300X | Geriatric Medicine | A86051 | CA |
NPI | 1073627014 |
---|---|
Provider Name | Nirmala Gopalan |
First Address | Cupertino, CA 95014-2836 |
Second Address | San Jose, CA 95128-2631 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A860510 | (05) | CA |
I05393 | (02) | CA |