Individual
DR. ANITA RAJAGOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7250 CLEARVISTA DR STE 380, INDIANAPOLIS, IN 46256
(317) 621-3700
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
01072844A
IN
207RP1001X
Pulmonary Disease Physician
46936
KY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
01072844A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300015269
—
IN
Enumeration date
03/25/2011
Last updated
08/23/2023
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