Provider Demographics
NPI:1760836407
Name:KATKORIA, GOPAL (MD)
Entity Type:Individual
Prefix:
First Name:GOPAL
Middle Name:
Last Name:KATKORIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SILVERBELL CRT.
Mailing Address - Street 2:
Mailing Address - City:BRAMPTON
Mailing Address - State:ON
Mailing Address - Zip Code:L7A 3V3
Mailing Address - Country:CA
Mailing Address - Phone:917-702-9806
Mailing Address - Fax:
Practice Address - Street 1:2821 MICHAEL ANGELO
Practice Address - Street 2:STE. 400
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539
Practice Address - Country:US
Practice Address - Phone:956-362-3553
Practice Address - Fax:956-362-3553
Is Sole Proprietor?:No
Enumeration Date:2016-04-19
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT5938207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine