Individual
DR. LOGI RAJAGOPALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
424 E 34TH ST, NEW YORK, NY 10016-4901
(212) 263-2377
Mailing address
506 LENOX AVE, MLK17-125, NEW YORK, NY 10037-1802
(212) 939-3702
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
251342
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02557817
—
NY
Enumeration date
11/23/2005
Last updated
09/08/2022
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