Gopal, Jay J

Gopal, Jay J is an individual health care provider with primary practice located at 201 E University Pkwy 33Rd Street Building Suite 233, Baltimore MD 21218-2829. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gopal, Jay J can be contacted via phone (410) 554-2696.

Contact Information

Primary practice address
201 E University Pkwy 33Rd Street Building Suite 233 Baltimore MD 21218-2829
Phone: (410) 554-2696
Fax: (410) 554-2570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D31052 Maryland

Profile Details

NPI number 1407823776
LBN Legal business name Gopal, Jay J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2006
Last updated Mar 3rd, 2008 - about 18 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 1407823776 NPPES
Maryland Other 75859903 BLUE SHIELD

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