Provider Demographics
NPI:1447695614
Name:GOPAL, JANAK (MD)
Entity type:Individual
Prefix:
First Name:JANAK
Middle Name:
Last Name:GOPAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9000 FRANKLIN SQUARE DR
Mailing Address - Street 2:DEPT OF INTERNAL MEDICINE
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3901
Mailing Address - Country:US
Mailing Address - Phone:443-777-8300
Mailing Address - Fax:443-777-8344
Practice Address - Street 1:9000 FRANKLIN SQUARE DR
Practice Address - Street 2:DEPT OF INTERNAL MEDICINE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-3901
Practice Address - Country:US
Practice Address - Phone:443-777-8300
Practice Address - Fax:443-777-8344
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2017-05-04
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Provider Licenses
StateLicense IDTaxonomies
MDD0081564207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine