Individual
DR. RAJIV RAJAGOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1625 E MCANDREWS RD # A, MEDFORD, OR 97504-5334
(541) 779-3781
(541) 779-6523
Mailing address
1625 E MCANDREWS RD # A, MEDFORD, OR 97504-5334
(541) 779-3781
(541) 779-6523
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7756
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233335
—
OR
Enumeration date
12/10/2007
Last updated
12/10/2007
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