SHANTHI GOPAL


Address: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202
Phone: 3139169106

SHANTHI GOPAL (NPI# 1205989753) 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) 1205989753
Entity Type Individual
Full Name SHANTHI GOPAL
Credential M.D.
Practice Address Henry Ford Health System
2799 West Grand Boulevard
Detroit
MI 48202
Practice Telephone 3139169106
Practice Fax Number 3139161249
Mailing Telephone 3139169106
Enumeration Date 2007-01-19
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 4301083159 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
COMMERCIAL-COMMERCIAL NUMBER SG083159 01
CHAMPUS-CHAMPUS SG083159 01

Other Providers SHANTHI GOPAL

NPI Name Taxonomy Address Enumeration
1740290584 Shanthi Gopal Pathology 1901 S 1st St, Temple, TX 76504-7451 2006-08-08

Office Location

Street Address HENRY FORD HEALTH SYSTEM
2799 WEST GRAND BOULEVARD
City DETROIT
State MI
Zip Code 48202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336147461 Joseph Lawrence Lelli Surgery Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 2005-07-12
1053794859 Ali Malik Podiatrist Henry Ford Health System, 1 Ford Pl Ste 2e, Detroit, MI 48202 2015-06-30
1730389198 Folusho Everton Ogunfiditimi Physician Assistant Henry Ford Health System, 2799 West Grand Blvd., Detroit, MI 48202 2007-07-23
1598897696 Geoffrey S. Mwaungulu Internal Medicine Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 2007-03-12
1578606463 Rebecca S. Lurcott Ophthalmology Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 2007-02-14
1184767949 Jan Rival Internal Medicine Henry Ford Health System, 3031 West Grand Blvd., Detroit, MI 48202 2007-02-14
1295875342 Vinaya Vallabhaneni Preventive Medicine Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 2007-02-07
1699821157 Morton B. Cash Radiology Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 2007-01-26
1881748242 Felix Umansky Neurological Surgery Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 2007-01-23
1558415901 Sidney Goldstein Internal Medicine Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 2007-01-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710584602 Andrea Irene Martin Audiologist 2799 E Grand Blvd, Detroit, MI 48202 2020-10-05
1174132583 Odei Alayyas Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 2020-07-31
1912529801 Aroob Nabil Nimer Sweidan Student in an Organized Health Care Education/Training Program 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 2020-05-13
1306485636 Katie Burlen-davis Registered Nurse 9045 Woodward Ave, Detroit, MI 48202 2020-01-03
1407401250 Santhalakshmi Angappan Student in an Organized Health Care Education/Training Program Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 2019-08-08
1851945687 Walter Mitini Etoh Nurse Practitioner Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 2019-07-30
1467913756 Andrew Michael Schock Emergency Medicine Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 2019-03-28
1700363892 Zaid Al-saheli Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 2018-07-23
1932690096 Yusuf Naser Alalwan Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 2018-05-24
1568952729 Kelvin Sellers Massage Therapist 832 Seward, Detriot, MI 48202 2018-05-14
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194354811 Lorie Ann Turner Family Medicine 1728 Sheridan St, Detroit, MI 48214-2410 2020-04-04
1134787633 Behavioral Health Professionals, Inc Family Medicine 19750 Burt Road, Detroit, MI 48219 2019-05-31
1508326687 Randi Nguyen Family Medicine 22151 Moross Rd Ste 212, Detroit, MI 48236-2177 2019-03-23
1982194338 Green Cross Medical Center PC Family Medicine 18041 Greenfield Rd, Detroit, MI 48235-3120 2018-05-11
1205339306 Conant Family Care Pllc Family Medicine 3611 Carpenter St Ste 5, Detroit, MI 48212-2784 2018-03-14
1801303086 St Mary Mercy Physician Practices Family Medicine 5555 Conner St Ste 2691, Detroit, MI 48213-3812 2018-01-09
1427408376 Raquel Orlich Family Medicine 1620 Michigan Ave Ste 125, Detroit, MI 48216-1493 2016-06-21
1295181543 Ammar Charestan Family Medicine 6071 Outer Dr W, Detroit, MI 48235 2016-05-05
1629423652 Rajni Parmar Family Medicine 6001 W Outer Dr Ste 430, Detroit, MI 48235-2626 2016-04-27
1265886733 Benjamin Abraham Family Medicine One Ford Place 2e, Henry Ford Hospital, Department of Family Medicine, Detroit, MI 48202 2016-04-20
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Competitor

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City DETROIT
Zip Code 48202

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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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