Individual
AISHWARYA KAMAKSHI RAJAGOPALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
940 BELMONT ST BLDG 5, BROCKTON, MA 02301-5596
(774) 826-2458
Mailing address
101 FOX HILL DR, NEWTOWN, PA 18940-3648
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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