DR. GOPI KRISHNA RAJU PENMETSA MD NPI 1902045271

NPI Information

NPI: 1902045271
Provider Name: DR. GOPI KRISHNA RAJU PENMETSA, MD
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

PECOS Registration: Yes

Address:
UNIVERSITY HOSPITAL
50 NORTH MEDICAL DRIVE
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 803-8728
Get Directions

DR. Gopi Krishna Raju Penmetsa, MD is a rheumatology internal medicine in Salt Lake City, UT with 17 years of experience. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Gopi Krishna Raju Penmetsa, MD NPI is 1902045271. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

UNIVERSITY HOSPITAL
50 NORTH MEDICAL DRIVE
SALT LAKE CITY, UT
ZIP 84132-001
Phone: (801) 803-8728

The NPI 1902045271 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/10/2009 and was last updated on 6/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RR0500X	Internal Medicine	Rheumatology	7478485-1205	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0622596	OTHER		UNIVERSITY ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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