Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MA075874 | NJ |
NPI | 1023108321 |
---|---|
Provider Name | Kumar Rajagopalan |
First Address | Camden, NJ 08103-1088 |
Second Address | Voorhees, NJ 08043-4637 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2006 |
Last Update Date | 05/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0026794 | (05) | NJ |
010005989 | AMERICHOICE (01) | |
1633318 | AMERIHEALTH PPO (01) | |
1791008 | UNITED HEALTHCARE (01) | |
2308701000 | AMERIHEALTH, KEYSTONE, IBC (01) | |
3456939 | AETNA (01) | |
38625 | UNIVERSITY HEALTHPLAN (01) | |
3K5927 | HEALTHNET (01) | |
60005740 | HORIZON NJ HEALTH (01) | |
G63178 | (02) | |
P00138412 | RR MEDCIARE (01) | |
P3191514 | OXFORD (01) |