Individual
JAISHREE RAJAGOPALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2511 LOGAN ST, SELMA, CA 93662-3012
(559) 896-2624
Mailing address
2511 LOGAN ST, SELMA, CA 93662-3012
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A85803
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A858030
—
CA
Enumeration date
07/18/2005
Last updated
07/08/2007
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