Individual
DR. RAJAGOPALAN RENGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 969-0161
(570) 969-0163
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 969-0161
(570) 969-0163
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS018758
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OS018758
PA
207RP1001X
Pulmonary Disease Physician
Primary
OS018758
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
25MB09747500
PA
Other
Enumeration date
07/17/2013
Last updated
12/10/2025
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