AJAY KUMAR GOPAL NPI 1194801902

NPI Information

NPI: 1194801902
Provider Name: AJAY KUMAR GOPAL
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

PECOS Registration: Yes

Address:
AMBULATORY CLINIC
825 EASTLAKE AVENUE EAST
SEATTLE, WA
ZIP 98109
Phone: (206) 288-1000
Get Directions

Ajay Kumar Gopal is a medical oncology internal medicine in Seattle, WA with 31 years of experience. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. Ajay Kumar Gopal NPI is 1194801902. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

AMBULATORY CLINIC
825 EASTLAKE AVENUE EAST
SEATTLE, WA
ZIP 98109
Phone: (206) 288-1000

The NPI 1194801902 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 10/27/2006 and was last updated on 10/26/2011.

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	207R00000X	Internal Medicine		MD00034592	WASHINGTON	No
2	207RX0202X	Internal Medicine	Medical Oncology	MD00034592	WASHINGTON	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	G28808	MEDICARE UPIN
2	AB15947	MEDICARE PIN	WASHINGTON
3	2000181	OTHER		INTERNAL ID-MOTOR VEHICLE ID
4	0231159	OTHER	WASHINGTON	L&I
5	1194801902	MEDICAID	WASHINGTON

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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