Gopakumar, Uma

Gopakumar, Uma is an individual health care provider with primary practice located at 5252 E Main St , Mesa AZ 85205-8022. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gopakumar, Uma can be contacted via phone (480) 396-3222.

Contact Information

Primary practice address
5252 E Main St Mesa AZ 85205-8022
Fax: (480) 396-2298
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X TAP4859 Arizona

Profile Details

NPI number 1124367255
LBN Legal business name Gopakumar, Uma
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2013
Last updated Sep 8th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124367255 NPPES
Arizona MEDICAID 848580

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