Individual
RAJAGOPAL CHADALAVADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10600 MONTGOMERY RD STE 200, CINCINNATI, OH 45242-4464
(513) 794-5600
(513) 281-1908
Mailing address
10600 MONTGOMERY RD STE 200, CINCINNATI, OH 45242-4464
(513) 794-5600
(513) 281-1908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-084399
OH
207RG0100X
Gastroenterology Physician
Primary
35-084399
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000357785
ANTHEM
OH
Enumeration date
02/28/2006
Last updated
04/18/2024
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