Individual
KRISHNAN R RAJAGOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1430 E 9TH ST, ROCHESTER, IN 46975-8931
(574) 223-9525
(574) 223-9521
Mailing address
1400 E 9TH ST, ROCHESTER, IN 46975-8931
(574) 224-1044
(574) 224-1103
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01064184A
IN
207RP1001X
Pulmonary Disease Physician
MD427793
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101489839
—
PA
05
—
200484030A
—
IN
05
—
200877540
—
IN
Enumeration date
06/18/2006
Last updated
10/02/2014
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