Swaminathan, Rajagopala

Swaminathan, Rajagopala is an individual health care provider with primary practice located at 3024 E Empire St Ste Eandf , Bloomington IL 61704-5402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Swaminathan, Rajagopala can be contacted via phone (309) 451-3376.

Contact Information

Primary practice address
3024 E Empire St Ste Eandf Bloomington IL 61704-5402
Phone: (309) 451-3376
Fax: (309) 452-3376
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036052561 Illinois

Profile Details

NPI number 1528008414
LBN Legal business name Swaminathan, Rajagopala
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jun 11th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528008414 NPPES
Other 0004006893 AETNA
Other 036052561001 AETNA
Other 37122730101 AETNA
Other 070002088 AETNA
Other 3712273010002 AETNA
Other 563285 AETNA
Other 7200602 AETNA
Other C619811 AETNA

Popular Providers