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Individual

MR. RAJAGOPAL KRISHNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-5700
(951) 486-5705
Mailing address
PO BOX 1579, LOMA LINDA, CA 92354-1579
(951) 486-5700
(951) 486-5705

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A48568
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A48568
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A485680
CA
Enumeration date
07/10/2006
Last updated
02/01/2017
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