Provider Demographics
NPI:1619978772
Name:DOSHI, GOPAL H (MD)
Entity Type:Individual
Prefix:
First Name:GOPAL
Middle Name:H
Last Name:DOSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3295 S COOPER ST
Mailing Address - Street 2:STE 119
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-2359
Mailing Address - Country:US
Mailing Address - Phone:817-557-0099
Mailing Address - Fax:817-417-0973
Practice Address - Street 1:3295 S COOPER ST
Practice Address - Street 2:SUITE 131
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2363
Practice Address - Country:US
Practice Address - Phone:817-557-0099
Practice Address - Fax:817-417-7266
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2017-06-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL0138174400000X, 207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No174400000XOther Service ProvidersSpecialist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX038342401Medicaid
TXH25309Medicare UPIN
TX038342401Medicaid