Provider Demographics
NPI:1376727552
Name:GOPINATH, ANIL (MD)
Entity Type:Individual
Prefix:
First Name:ANIL
Middle Name:
Last Name:GOPINATH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:DIVISION OF PULMONARY CRITICAL CARE SLEEP
Mailing Address - Street 2:KENTUCKY CLINIC, L543
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0001
Mailing Address - Country:US
Mailing Address - Phone:859-323-2624
Mailing Address - Fax:859-257-2418
Practice Address - Street 1:DIVISION OF PULMONARY CRITICAL CARE SLEEP
Practice Address - Street 2:KENTUCKY CLINIC, L543
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-323-2624
Practice Address - Fax:859-257-2418
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2015-05-01
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Provider Licenses
StateLicense IDTaxonomies
KY44139207RC0200X, 207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAJ679ZMedicare PIN