Individual
NITYA RAJAGOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5036
(405) 271-4113
Mailing address
920 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5036
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
45700
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/17/2021
Last updated
07/07/2025
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