Provider Demographics
NPI:1003279860
Name:LALCHANDANI, GOPAL RAM (MD)
Entity Type:Individual
Prefix:
First Name:GOPAL
Middle Name:RAM
Last Name:LALCHANDANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1500 OWENS ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-2335
Mailing Address - Country:US
Mailing Address - Phone:415-353-9400
Mailing Address - Fax:415-353-9643
Practice Address - Street 1:1500 OWENS ST STE 200
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94158-2335
Practice Address - Country:US
Practice Address - Phone:415-353-9400
Practice Address - Fax:415-353-9643
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA287252207XS0106X
CAA152165207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery