Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0205X | Pediatric Endocrinologist | 267168 | NY |
Y | 2080P0205X | Pediatric Endocrinologist | MD0476018 | PA |
NPI | 1356602924 |
---|---|
Provider Name | Resmy Palliyil Gopi |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Allentown, PA 18103-3692 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2012 |
Last Update Date | 08/02/2022 |