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Contact Information

GOPINATHAN GANGADHARAN NAMBIAR
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL62704-7437
 Phone: 217-698-9722
 Fax: 217-391-0392
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for GOPINATHAN GANGADHARAN NAMBIAR · (Male)

NPI # 1013395250
Status Active
Credentials
Entity Individual
Enumeration date 05/07/2015
Last updated 07/16/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036142874
  • TN License # 64787
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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