| Doctor Name: | SRIKUMAR GOPALAN |
| NPI Number: | 1104866052 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0101036224 |
| Business Practice Address: | 101 15th St Nw Norton, VA - 242731615 |
| Business Phone Number: | 2763282511 |
| Business Fax Number: | |
| Mailing Address: | Po Box 12666, ROANOKE |
| State: | VA |
| Postal Code: | 240272666 |
| Phone Number: | 2766799666 |
| Fax Number: | |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 08/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 0101036224 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |