Provider Demographics
NPI:1013983782
Name:GOPALANI, SALIM (MD,)
Entity Type:Individual
Prefix:DR
First Name:SALIM
Middle Name:
Last Name:GOPALANI
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 1:1631 NORTH LOOP W
Mailing Address - Street 2:SUITE 260
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1500
Mailing Address - Country:US
Mailing Address - Phone:713-802-9024
Mailing Address - Fax:713-802-1868
Practice Address - Street 1:1631 NORTH LOOP W
Practice Address - Street 2:SUITE 260
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1500
Practice Address - Country:US
Practice Address - Phone:713-802-9024
Practice Address - Fax:713-802-1868
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6116207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX035098501Medicaid
TX035098501Medicaid
TX00N81VMedicare PIN