Korupolu, Gopal R

Korupolu, Gopal R is an sole proprietor health care provider with primary practice located at 12204 Cortez Blvd , Brooksville FL 34613-2630. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Korupolu, Gopal R can be contacted via phone (352) 799-3449.

Contact Information

Primary practice address
12204 Cortez Blvd Brooksville FL 34613-2630
Phone: (352) 799-3449
Fax: (352) 799-3214
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X ME0070951 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME0070951 Florida

Profile Details

NPI number 1861437428
LBN Legal business name Korupolu, Gopal R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2006
Last updated Jan 6th, 2015 - about 10 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 1861437428 NPPES
Florida MEDICAID 007336200

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