Dr. Rajagopalan Rengan
Internist Pulmonary Disease Critical Care Medicine and 2 more
3401 N Broad St
Philadelphia
, Pennsylvania 19140-5103
Dr. Rajagopalan Rengan
Internist Pulmonary Disease Critical Care Medicine and 2 more
3401 N Broad St
Philadelphia
, Pennsylvania 19140-5103
(732) 821-8080
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About
Features
Specialties
- Internist
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Dr. Rajagopalan Rengan
- 502 Kings Dr
- Cherry Hill, NJ
- Zip : 08003-3012
- Phone : (732) 821-8080
Second Address
- Dr. Rajagopalan Rengan
- 3401 N Broad St
- Philadelphia, PA
- Zip : 19140-5103
- Phone : (215) 707-8163
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 25MB09747500 | NJ |
| N | 111NI0900X | Internist | 25MB09747500 | NJ |
| N | 207R00000X | Internist | OS018758 | PA |
| N | 111NI0900X | Internist | OS018758 | PA |
| N | 207RC0200X | Critical Care Medicine | 25MB09747500 | NJ |
| N | 207RC0200X | Critical Care Medicine | OS018758 | PA |
| N | 207RP1001X | Pulmonary Disease | 25MB09747500 | NJ |
| Y | 207RP1001X | Pulmonary Disease | OS018758 | PA |
National Provider Identifier
| NPI | 1003257130 |
|---|---|
| Provider Name | Dr. Rajagopalan Rengan |
| First Address | Cherry Hill, NJ 08003-3012 |
| Second Address | Philadelphia, PA 19140-5103 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2013 |
| Last Update Date | 04/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.