Ravi, Rajagopalan

Ravi, Rajagopalan is an individual health care provider with primary practice located at 2632 N 20Th St , Phoenix AZ 85006-1339. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Ravi, Rajagopalan can be contacted via phone (602) 266-2200.

Contact Information

Primary practice address
2632 N 20Th St Phoenix AZ 85006-1339
Phone: (602) 266-2200
Fax: (602) 240-5862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 10584 Arizona
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 10584 Arizona

Profile Details

NPI number 1215938147
LBN Legal business name Ravi, Rajagopalan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Sep 12th, 2012 - about 12 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 1215938147 NPPES
Arizona MEDICAID 220004
Arizona Other WCSKQ
Arizona Other 020046638

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