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Individual

DR. RAJAGOPAL R NANDYAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
O.U. MEDICAL CENTER, 1200 EVERETT DR,, 7TH FLOOR, NORTH PAVILION, OKLAHOMA CITY, OK 73104
(405) 271-5215
(405) 271-1236
Mailing address
2617 LILLEHAMMER DR, EDMOND, OK 73034-9157
(405) 285-2820
(405) 271-1236

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
11599
OK
2080N0001X
Neonatal-Perinatal Medicine Physician
24228
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11599
MEDICAL LICENSE
OK
01
24228
MEDICAL LICENSE
WI
Enumeration date
07/29/2005
Last updated
07/08/2007
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