Individual
KANYA RAJAGOPALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 DON WICKHAM DR, CLERMONT, FL 34711-1979
(352) 536-8840
(352) 536-8841
Mailing address
1900 DON WICKHAM DR, CLERMONT, FL 34711-1979
(352) 536-8840
(352) 536-8841
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME156039
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
ME156039
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114248400
—
FL
Enumeration date
03/19/2019
Last updated
01/06/2025
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