Provider Demographics
NPI:1063509461
Name:DK GOPINATH MD PSC
Entity Type:Organization
Organization Name:DK GOPINATH MD PSC
Other - Org Name:GOPINATH & ALANKAR MD PSC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUDHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALANKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-239-1116
Mailing Address - Street 1:6703 OUTER LOOP
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40228-1821
Mailing Address - Country:US
Mailing Address - Phone:502-239-1116
Mailing Address - Fax:502-239-8728
Practice Address - Street 1:6703 OUTER LOOP
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40228-1821
Practice Address - Country:US
Practice Address - Phone:502-239-1116
Practice Address - Fax:502-239-8728
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DK GOPINATH MD PSC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
208000000X
KY18313208000000X
KY37541208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty