Uma Gopakumar, NP-C
Nurse Practitioner, Family in Mesa, AZ. Individual provider (NPI-1).
NPI number1124367255
StatusActive
Last updated in NPPESSep 8, 2020
Details
- NPI
- 1124367255
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Uma Gopakumar
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 8, 2013
- Certification date
- Sep 8, 2020
- Last updated
- Sep 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | TAP4859 | AZ | Yes |
Practice location
5252 E Main StMesa, AZ 85205-8022
Phone 480-396-3222 · Fax 480-396-2298
Mailing address
743 W Gary AveGilbert, AZ 85233-2067
Phone 480-668-5086 · Fax 480-396-2298
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