GOPAL KODUMUDI


Address: 9741 Mckenna Dr, Elk Grove, CA 95757-4027
Phone: 2036859588

GOPAL KODUMUDI (NPI# 1285195982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285195982
Entity Type Individual
Full Name GOPAL KODUMUDI
Practice Address 9741 Mckenna Dr
Elk Grove
CA 95757-4027
Practice Telephone 2036859588
Mailing Telephone 2036859588
Enumeration Date 2019-03-26
Last Update Date 2019-03-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 9741 MCKENNA DR
City ELK GROVE
State CA
Zip Code 95757-4027

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447896600 Cassandra Jan Cassas I Behavior Technician 9832 Tundra Swan, Elk Grove, CA 95757 2019-11-22
1386287027 Winslow Dds Inc. Clinic/Center 10043 Bruceville Road, Unit 160, Elk Grove, CA 95757 2019-10-25
1386206696 Daniel & Max, LLC Optometrist 7150 Elk Grove Blvd, Elk Grove, CA 95757 2019-07-08
1033684865 Lua Davidson Behavioral Analyst 5504 Aspen Grove Ln, Elk Grove, CA 95757 2018-10-08
1821578386 Michele Elizabeth Amato Behavior Technician 8350 Lotz Parkway, Elk Grove, CA 95757 2018-08-15
1043759632 Costco Wholesale Corporation Pharmacy 7400 Elk Grove Boulevard, Elk Grove, CA 95757 2017-02-16
1497207351 Ron Dancy Genetic Counselor, MS 9864 West Taron Dr, Elk Grove, CA 95757 2016-10-26
1780051524 Jesselle Pablo Counselor 10227 Pedra Do Sol Way, Elk Grove, CA 95757 2015-08-27
1851708945 Yen Ngoc Hoang Pharmacist 8257 Hopewell Drive, Elk Grove, CA 95757 2014-07-21
1477742070 Nkechi Akudo Nzerem-johnson Pediatrics Dignity Health Medical Plaza, 8220 Wymark Drive Suite 200, Elk Grove, CA 95757 2007-10-18
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700499126 Sulema Arizbeth Cortes Estrada Student in an Organized Health Care Education/Training Program 9227 Wollaston Way, Elk Grove, CA 95624-3568 2020-08-25
1881217909 Britney Ann Tennison Student in an Organized Health Care Education/Training Program 7712 Splendid Way, Elk Grove, CA 95758-9552 2020-05-22
1871137976 Blossom Kim Student in an Organized Health Care Education/Training Program 9108 Trumbauer Way, Elk Grove, CA 95758-7434 2019-10-31
1992362362 Kimberly Abrahamson Student in an Organized Health Care Education/Training Program 9412 Big Horn Dr #6, Elk Grove, CA 95758 2019-05-21
1861990079 Alanna Crossman Student in an Organized Health Care Education/Training Program 8569 Mission Falls Cir, Elk Grove, CA 95624-3920 2018-01-23
1447635529 David Johnson Student in an Organized Health Care Education/Training Program 9666 Kent St, Elk Grove, CA 95624 2015-07-30
1760862437 Harpreet Singh Student in an Organized Health Care Education/Training Program 8617 Orison Ct, Elk Grove, CA 95624 2015-06-08
1174903918 Elise Boykin Student in an Organized Health Care Education/Training Program 10362 Aldinger Way, Elk Grove, CA 95757-3508 2015-06-07
1508256868 Daniel Aboubechara Student in an Organized Health Care Education/Training Program 8695 Bradshaw Rd, Elk Grove, CA 95624-9421 2015-01-26
1831591296 Desirae Spignor Student in an Organized Health Care Education/Training Program 8515 Elk Grove Florin Rd Apt 327, Elk Grove, CA 95624-9558 2014-09-17
Find all providers in ELK GROVE

Competitor

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City ELK GROVE
Zip Code 95757

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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