Pathial, Kishore Gopinathan
Pathial, Kishore Gopinathan is an sole proprietor health care provider with primary practice located at 2397 Ne Cumulus Ave , Mcminnville OR 97128-6257. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Pathial, Kishore Gopinathan can be contacted via phone (503) 472-5163.Contact Information
Primary practice address
2397 Ne Cumulus Ave
Mcminnville OR 97128-6257
Phone: (503) 472-5163
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 695279-1 | Oregon |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 695279-1 | Oregon |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 695279-1 | Oregon |
Profile Details
| NPI number | 1396765236 |
|---|---|
| LBN Legal business name | Pathial, Kishore Gopinathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Aug 21st, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396765236 | NPPES |
| Oregon | MEDICAID | 055884 |
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