Krishnan, Gopal

Krishnan, Gopal is an individual health care provider with primary practice located at 10004 Kennerly Rd Ste 361B , Saint Louis MO 63128-2141. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Krishnan, Gopal can be contacted via phone (314) 843-3449.

Contact Information

Primary practice address
10004 Kennerly Rd Ste 361B Saint Louis MO 63128-2141
Phone: (314) 843-3449
Fax: (314) 843-8762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2001001580 Missouri
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2001001580 Missouri

Profile Details

NPI number 1780658716
LBN Legal business name Krishnan, Gopal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Mar 28th, 2023 - about 2 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 1780658716 NPPES
Illinois MEDICAID 036099454
Illinois Other 390008372

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