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Individual

RADHA GOPAL IYENGAR

Active
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Individual

RADHA GOPAL IYENGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
059085
GA
208600000X
Surgery Physician
N1354
TX
2086X0206X
Surgical Oncology Physician
Primary
N1354
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
206326501
TX
Enumeration date
03/15/2007
Last updated
10/07/2019
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