Provider Demographics
NPI:1316027667
Name:GOPINATH, SHANKAR P (MD)
Entity Type:Individual
Prefix:
First Name:SHANKAR
Middle Name:P
Last Name:GOPINATH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2 GREENWAY PLZ
Mailing Address - Street 2:SUITE 910
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77046-0297
Mailing Address - Country:US
Mailing Address - Phone:713-798-1750
Mailing Address - Fax:713-798-1144
Practice Address - Street 1:1504 TAUB LOOP
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1608
Practice Address - Country:US
Practice Address - Phone:713-873-8890
Practice Address - Fax:713-873-8898
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2008-02-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX41389207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160695601Medicaid
TX8A9804Medicare PIN
TX160695601Medicaid