| Doctor Name: | DR. NAMITA R GOPAL |
| NPI Number: | 1043303845 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 21933 |
| Business Practice Address: | 415 Sutton Ln Owensboro, KY - 423010372 |
| Business Phone Number: | 2707449600 |
| Business Fax Number: | 2707440834 |
| Mailing Address: | Po Box 9150, PADUCAH |
| State: | KY |
| Postal Code: | 420029150 |
| Phone Number: | 2707449600 |
| Fax Number: | 2707440834 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 10/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 21933 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |