Iyengar, Radha Gopal

Iyengar, Radha Gopal is an individual health care provider with primary practice located at 1105 Central Expy N Ste 2100 Medical Building 2, Allen TX 75013-6120. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Iyengar, Radha Gopal can be contacted via phone (972) 747-6401.

Contact Information

Primary practice address
1105 Central Expy N Ste 2100 Medical Building 2 Allen TX 75013-6120
Phone: (972) 747-6401
Fax: (972) 747-6405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X N1354 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 059085 Georgia
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X N1354 Texas

Profile Details

NPI number 1568596963
LBN Legal business name Iyengar, Radha Gopal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Oct 7th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568596963 NPPES
Texas MEDICAID 206326501

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