Individual
RANGARAJ KARUPPIAH GOPALRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S., M. D.
Contact information
Practice address
1930 BISHOP LN STE 1600, LOUISVILLE, KY 40218-1948
(502) 272-5044
(502) 272-5121
Mailing address
501 E BROADWAY STE 290, LOUISVILLE, KY 40202-2040
(502) 217-8221
(502) 217-5056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41956
KY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
41954
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200988040
—
IN
05
—
7100123130
—
KY
Enumeration date
04/30/2008
Last updated
01/26/2021
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