Provider Demographics
NPI:1588062699
Name:SHAMIN GOPINATH MD PLLC
Entity type:Organization
Organization Name:SHAMIN GOPINATH MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOPINATH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-486-4680
Mailing Address - Street 1:2620 BELLEVUE WAY NE
Mailing Address - Street 2:#128
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-2209
Mailing Address - Country:US
Mailing Address - Phone:206-486-4680
Mailing Address - Fax:
Practice Address - Street 1:2620 BELLEVUE WAY NE
Practice Address - Street 2:#128
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-2209
Practice Address - Country:US
Practice Address - Phone:206-486-4680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-05
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA6034555962084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty