Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GOPAL MADHAV, MD
Deactivated Sole ProprietorDR. GOPAL MADHAV, MD is a Internal Medicine healthcare provider located in EVERGREEN PARK, Illinois. NPI 1649274119 is deactivated in the NPPES registry. Verify at CMS.
Internal Medicine · EVERGREEN PARK, IL
This NPI has been deactivated.
The record was deactivated on March 16, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1649274119
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2005 (0.75890410958904 yrs)
- Last Updated
- Dec 17, 2021
- Deactivated
- Mar 16, 2006
- License
-
036-058991 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3900 W 95TH STSTE 6EVERGREEN PARK, IL, 608051901Browse IL providers · Browse ZIP 60805
- Phone
- 7084237734
- Fax
- 7084233282
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in EVERGREEN PARK, IL
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS JOSEPH | M.D. | 1306836663 |
| DOLORES DIXON-GREVIOUS | MD | 1023089133 |
| MOHAMMAD ABDUR RAZZAQUE | M.D. | 1184683849 |
| MICHAEL M STACHOWSKI | M.D. | 1144267253 |
| DR. SYED A MOEED | M.D. | 1255371498 |
| NUSRAT MUSA | M.D. | 1558387621 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.