Provider Demographics
NPI:1841492915
Name:GABBUR, GOPAL KRISHNA (MD)
Entity type:Individual
Prefix:DR
First Name:GOPAL
Middle Name:KRISHNA
Last Name:GABBUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:12611 ARTESIA BLVD APT 452
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-8701
Mailing Address - Country:US
Mailing Address - Phone:424-268-0373
Mailing Address - Fax:888-671-2068
Practice Address - Street 1:2677 ZOE AVE STE 301
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-6994
Practice Address - Country:US
Practice Address - Phone:323-826-6300
Practice Address - Fax:323-277-7862
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1030732084P0805X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry