Individual
RAJASHREE KOPPOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
604243
CA
363L00000X
Nurse Practitioner
15247
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
15247
CA
Other
Enumeration date
05/22/2007
Last updated
08/08/2016
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