Individual
SANJAY RAJAGOPALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-4716
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-4716
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35088780
OH
207RC0000X
Cardiovascular Disease Physician
Primary
D77012
MD
2085R0202X
Diagnostic Radiology Physician
D77012
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2088548
—
OH
05
—
422262800
—
MD
01
—
S062-0537
CAREFIRST BC/BS
MD
Enumeration date
10/17/2005
Last updated
12/24/2020
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