Individual
RAMKUMAR JAYAGOPALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2113 ADAMS GRV, SUITE 101, COLUMBIA, SC 29203-6951
(803) 256-0531
(803) 765-9052
Mailing address
2113 ADAMS GRV, SUITE 101, COLUMBIA, SC 29203-6951
(803) 256-0531
(803) 765-9052
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27040
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC504
—
SC
Enumeration date
07/11/2006
Last updated
07/25/2011
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