Organization
RAJGOPAL PAKANATI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJGOPAL R PAKANATI MD (PRESIDENT)
(281) 593-1811
Entity
Organization
Contact information
Practice address
300 E CROCKETT ST, CLEVELAND, TX 77327-4029
(281) 593-1811
Mailing address
PO BOX 132168, THE WOODLANDS, TX 77393-2168
(660) 826-5960
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083HD
BCBS
TX
Enumeration date
02/06/2007
Last updated
01/07/2011
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