Most Relevant Information
Provider Data
| NPI Number: | 1003821430 |
| Provider Name: | SANJEEV GOPAL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207RH0003X |
| Specialty: | Internal Medicine |
| License Number: | 276077 |
Most Important Dates
| Enumeration Date: | 07/31/2006 |
| Last Updated: | 06/04/2015 |
Provider Practice Location
6424 E BROADWAY RD
104-105
MESA
AZ
852061750
Practice Location Phone/Fax
| Phone: | 6028028700 |
| Fax: | 6028028799 |
Provider Mailing Location
6424 E BROADWAY RD
104-105
MESA
AZ
852061750
Provider Mailing Phone/Fax
| Phone: | 6028028700 |
| Fax: | 6028028799 |