Provider Demographics
NPI:1215706239
Name:GOPA MUKHERJEE
Entity type:Organization
Organization Name:GOPA MUKHERJEE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:DR
Authorized Official - First Name:GOPA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUKHERJEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-596-8847
Mailing Address - Street 1:425 S CHERRY ST STE 630
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1233
Mailing Address - Country:US
Mailing Address - Phone:303-596-8847
Mailing Address - Fax:303-957-5698
Practice Address - Street 1:425 S CHERRY ST STE 630
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1233
Practice Address - Country:US
Practice Address - Phone:303-596-8847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty