| 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 | Medical Oncology |
| Experience | 37 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 |
|---|---|---|
| River Falls Area Hospital | River falls, WI | Hospital |
| Allina United Hospital | Saint paul, MN | Hospital |
| Healtheast St John's Hospital | Maplewood, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3584 |
| Allina Health System | 4587573613 | 3584 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578507513 PECOS PAC ID: 4587573613 Enrollment ID: O20031218000417 |
| 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 |