Kanagala, Rajesh
Kanagala, Rajesh is an individual health care provider with primary practice located at 4205 Mcauley Blvd Ste 375 , Oklahoma City OK 73120-9309. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Hepatology, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Kanagala, Rajesh can be contacted via phone (405) 749-4247.Contact Information
Primary practice address
4205 Mcauley Blvd Ste 375
Oklahoma City OK 73120-9309
Phone: (405) 749-4247
Fax: (405) 749-4249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Hepatology | 207RT0003X | 26001 | Oklahoma |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 26001 | Oklahoma |
Profile Details
| NPI number | 1659308435 |
|---|---|
| LBN Legal business name | Kanagala, Rajesh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Jan 13th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659308435 | NPPES |
| Wisconsin | MEDICAID | 34868300 | |
| Wisconsin | MEDICAID | 200126240A |
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