Provider Demographics
NPI:1841253234
Name:GOPALSWAMY, SABITHA R (MD)
Entity type:Individual
Prefix:
First Name:SABITHA
Middle Name:R
Last Name:GOPALSWAMY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5 NEPONSET ST
Mailing Address - Street 2:MERCANTILE CENTER 12TH FLOOR
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2714
Mailing Address - Country:US
Mailing Address - Phone:508-852-0600
Mailing Address - Fax:
Practice Address - Street 1:378 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-2673
Practice Address - Country:US
Practice Address - Phone:508-595-2513
Practice Address - Fax:508-595-2021
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA150741207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
042472266OtherPRIVATE HEALTHCARE SYSTEM
784139OtherMVP HEALTH CARE
042472266OtherHEALTHCARE VALUE MANAGEME
3170608OtherMEDICAID WELFARE
32213OtherFALLON COMMUNITY HEALTH P
3922460OtherCIGNA HEALTH PLAN
J18350OtherBLUE SHIELD INDEMNITY
J18350OtherBLUE CARE ELECT
042472266OtherONE HEALTH PLAN
7148596OtherAETNA US HEALTHCARE
AA1205OtherHARVARD PILGRIM HEALTHCAR
2045640OtherFIRST HEALTH
52466OtherHEALTHY START
0401728OtherEVERCARE
MA3170608Medicaid
52466OtherCHILDRENS MEDICAL SECURIT
J18350OtherBLUE SHIELD HMO BLUE
G53212Medicare UPIN
J18350OtherBLUE SHIELD HMO BLUE
AA1205OtherHARVARD PILGRIM HEALTHCAR