Individual
ADIKKAN OANTHAN RAJAGOPAL
Active
Individual
ADIKKAN OANTHAN RAJAGOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301036289
MI
207L00000X
Anesthesiology Physician
Primary
ME29883
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050G310140
BCBS OF MI
MI
05
—
278064000
—
FL
01
—
5829419
AETNA
FL
01
—
96524
BCBS
FL
01
—
AD661Z
GTBA MEDICARE REASSIGN
FL
01
—
B43873
UPIN
—
Enumeration date
01/31/2006
Last updated
03/19/2009
Update your record
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