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Individual

RANGASWAMY GOVINDARAJAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C-8513
AR
207RH0000X
Hematology (Internal Medicine) Physician
Primary
C-8513
AR
207RX0202X
Medical Oncology Physician
C-8513
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17572000000
QUALCHOICE
AR
01
5J946
BCBS
AR
Enumeration date
10/13/2006
Last updated
04/18/2008
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