Individual provider · Type 1 NPI

Palanivelraju Gopalakrishnan, MD

Student in an Organized Health Care Education/Training Program · Charleston, SC

NPI number 1700228715 Active

Practice location

96 Jonathan Lucas St
Charleston, SC 29425-6110

Call (843) 792-3368 Map

Mailing address

1850 Ashley Crossing Ln, 17 B
Charleston, SC 29414-5711

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X36122 (SC)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700228715

Palanivelraju Gopalakrishnan, MD's National Provider Identifier is 1700228715, issued on Jul 19, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charleston, SC. The record was last updated on Jul 19, 2013.