Provider Demographics
NPI:1093085334
Name:GOPALANI, USHA (MD)
Entity Type:Individual
Prefix:MRS
First Name:USHA
Middle Name:
Last Name:GOPALANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:USHA
Other - Middle Name:MAHADEO
Other - Last Name:GANPULE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:P.O. BOX 300
Mailing Address - Street 2:
Mailing Address - City:WERNERVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19565-0300
Mailing Address - Country:US
Mailing Address - Phone:610-670-4100
Mailing Address - Fax:610-670-4101
Practice Address - Street 1:RTE 422 & SPORTSMAN ROAD
Practice Address - Street 2:
Practice Address - City:WERNERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19565
Practice Address - Country:US
Practice Address - Phone:610-670-4100
Practice Address - Fax:640-670-4101
Is Sole Proprietor?:No
Enumeration Date:2012-01-04
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028133E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry