Gopakumar S Nambudiri, MD | |
1629 E Division St, River Falls, WI 54022-1571 | |
(715) 307-6430 | |
(715) 307-6405 |
Full Name | Gopakumar S Nambudiri |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 36 Years |
Location | 1629 E Division St, River Falls, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700841798 | NPI | - | NPPES |
34026800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 42583 (Wisconsin) | Secondary |
207RX0202X | Internal Medicine - Medical Oncology | 42583-20 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Healtheast St John's Hospital | Maplewood, MN | Hospital |
Healtheast Woodwinds Hospital | Woodbury, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healtheast Medical Research Institute | 3971407636 | 517 |
Entity Name | Healtheast Woodwinds Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356309322 PECOS PAC ID: 9638082563 Enrollment ID: O20031107000110 |
Entity Name | Healtheast Medical Research Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
Entity Name | Healtheast St Joseph's Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134186273 PECOS PAC ID: 2365348869 Enrollment ID: O20031208000245 |
Entity Name | Healtheast St John's Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447218482 PECOS PAC ID: 9234035742 Enrollment ID: O20031208000320 |
Mailing Address | Practice Location Address |
---|---|
Gopakumar S Nambudiri, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000 | Gopakumar S Nambudiri, MD 1629 E Division St, River Falls, WI 54022-1571 Ph: (715) 307-6430 |
Jeffrey D Larsen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 319 S Main St, River Falls, WI 54022 Phone: 715-425-6701 | |
Benjamin Reid Morgan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 319 S Main St, River Falls, WI 54022 Phone: 715-425-6701 |