Individual
DR. RAJESH KANAGALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4205 MCAULEY BLVD STE 375, OKLAHOMA CITY, OK 73120-9309
(405) 749-4247
(405) 749-4249
Mailing address
4205 MCAULEY BLVD STE 375, OKLAHOMA CITY, OK 73120-9309
(405) 749-4247
(405) 749-4249
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
26001
OK
207RT0003X
Transplant Hepatology Physician
26001
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200126240A
—
OK
05
—
34868300
—
WI
Enumeration date
06/27/2006
Last updated
01/13/2022
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