Dr. Gopal Srinivasan
M.D. | Pediatrics | Male
Dr. Gopal Srinivasan, M.D. is a Chicago, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Gopal Srinivasan is
1501 S California Ave, Chicago, Illinois - 60608-1732. He can be contacted on phone at
773-257-6476.
Dr. Gopal Srinivasan is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Gopal Srinivasan is
1417958133 which was assigned by NPPES on 03 Aug, 2005 and it was last updated on 23 May, 2022.
Dr. Gopal Srinivasan license number is
036-049107 for Pediatrics (208000000X) in Illinois.
Dr. Gopal Srinivasan is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Gopal Srinivasan basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Gopal Srinivasan |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Gopal Srinivasan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1501 S California Ave
Chicago, IL, 60608-1732
United States |
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| Phone Number : | 773-257-6476 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1417958133 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Aug, 2005 |
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| Last Updated On : | 23 May, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gopal Srinivasan are as mentioned. Primary taxonomy code for Dr. Gopal Srinivasan, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | 036-049107 | IL |
| 208000000X | Pediatrics | Yes | 036-049107 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Gopal Srinivasan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036-049107-1 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3537 Paysphere Cir
Chicago, IL, 60674-0035
United States |
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| Phone Number : | 708-786-2900 |
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Business Location:
Patients can refer following map for directions to
Dr. Gopal Srinivasan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.