Dr Alexis Gopal, MD | |
30 Quaker Farms Rd Ste 1, Southbury, CT 06488-2732 | |
(203) 262-9300 | |
(855) 719-2198 |
Full Name | Dr Alexis Gopal |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 30 Quaker Farms Rd Ste 1, Southbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477800241 | NPI | - | NPPES |
034613 | Other | CT | STATE MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 034613 (Connecticut) | Primary |
Entity Name | Griffin Faculty Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598755605 PECOS PAC ID: 7618871997 Enrollment ID: O20031120000158 |
Mailing Address | Practice Location Address |
---|---|
Dr Alexis Gopal, MD 67 Maple Ave, Derby, CT 06418-1328 Ph: (203) 732-1330 | Dr Alexis Gopal, MD 30 Quaker Farms Rd Ste 1, Southbury, CT 06488-2732 Ph: (203) 262-9300 |
Miss Mary Irene Miller, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: One Pomperaug Office Park, Suite 104, Southbury, CT 06488 Phone: 203-262-6900 Fax: 203-262-6045 | |
Harshana Patel, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 22 Old Waterbury Rd, Southbury, CT 06488 Phone: 203-267-4200 | |
Dr. Fitzhugh C Pannill Iii, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 22 Old Waterbury Rd, Suite 201, Southbury, CT 06488 Phone: 203-264-6503 Fax: 203-262-1430 | |
Jane Hunter, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 385 Main St S, Suite 106 Union Square, Southbury, CT 06488 Phone: 203-262-4600 | |
Dr. Ira D Mickenberg, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 22 Old Waterbury Rd, Suite 201, Southbury, CT 06488 Phone: 203-264-6503 Fax: 203-262-1430 | |
Dr. Saeeda Qadri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Old Waterbury Rd Ste 108, Southbury, CT 06488 Phone: 203-262-4200 | |
Dr. Michael John Toma, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 822c Heritage Vlg, Southbury, CT 06488 Phone: 203-267-6425 |