Provider Demographics
NPI:1528170875
Name:RAJAGOPALAN, NATARAJAN (MD)
Entity type:Individual
Prefix:DR
First Name:NATARAJAN
Middle Name:
Last Name:RAJAGOPALAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 CARE DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4495
Mailing Address - Country:US
Mailing Address - Phone:850-402-0202
Mailing Address - Fax:850-402-0226
Practice Address - Street 1:2626 CARE DR
Practice Address - Street 2:SUITE 105
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4495
Practice Address - Country:US
Practice Address - Phone:850-402-0202
Practice Address - Fax:850-402-0226
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA237081207RC0200X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL250975000Medicaid
FL31458BMedicare ID - Type Unspecified
F84750Medicare UPIN
FL31458EMedicare ID - Type Unspecified