Provider Demographics
NPI:1700850559
Name:GOPI, RAMESH K (MD)
Entity Type:Individual
Prefix:
First Name:RAMESH
Middle Name:K
Last Name:GOPI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:15732 LOS GATOS BLVD
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2504
Mailing Address - Country:US
Mailing Address - Phone:408-356-0683
Mailing Address - Fax:408-358-1629
Practice Address - Street 1:20660 STEVENS CREEK BLVD
Practice Address - Street 2:SUITE 333
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2120
Practice Address - Country:US
Practice Address - Phone:650-940-7218
Practice Address - Fax:650-988-7838
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2020-12-04
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Provider Licenses
StateLicense IDTaxonomies
CAA749982085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A749980OtherBLUE SHIELD
CA00A749980OtherBLUE SHIELD
CA00A749984Medicare PIN
I06983Medicare UPIN
CA00A749985Medicare PIN
CAZZZ06472ZMedicare PIN
CA00A749987Medicare PIN
CA00A749986Medicare PIN