Reddy, Gopal B
Reddy, Gopal B is an sole proprietor health care provider with primary practice located at 11890 Healing Way , Silver Spring MD 20904-7917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Reddy, Gopal B can be contacted via phone (443) 964-5950.Contact Information
Primary practice address
11890 Healing Way
Silver Spring MD 20904-7917
Phone: (443) 964-5950
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | D0053670 | Maryland |
Profile Details
| NPI number | 1588758874 |
|---|---|
| LBN Legal business name | Reddy, Gopal B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Dec 10th, 2019 - about 7 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 | 1588758874 | NPPES |
| District of Columbia | MEDICAID | 033777300 | |
| District of Columbia | MEDICAID | 136603300 |
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