Individual
RAJENDRA PRASAD KOIRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 BOARDMAN CANFIELD RD STE L1, YOUNGSTOWN, OH 44512
(234) 254-0612
Mailing address
725 BOARDMAN CANFIELD RD STE L1, YOUNGSTOWN, OH 44512-4370
(234) 254-0612
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.091058
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11930689
CAQH
OH
05
—
2902836
—
OH
Enumeration date
01/22/2008
Last updated
06/29/2018
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