DR. RAJAGOPAL R NANDYAL (NPI# 1669472601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669472601 |
Entity Type | Individual |
Full Name | DR. RAJAGOPAL R NANDYAL |
Other Name | RAJA R NANDYAL |
Credential | MD |
Practice Address |
O.u. Medical Center, 1200 Everett Dr 7th Floor, North Pavilion Oklahoma City OK 73104 |
Mailing Address |
2617 Lillehammer Dr Edmond OK 73034-9157 |
Practice Telephone | 4052715215 |
Practice Fax Number | 4052711236 |
Mailing Telephone | 4052852820 |
Mailing Fax Number | 4052711236 |
Enumeration Date | 2005-07-29 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
24228 | WI | Allopathic & Osteopathic Physicians |
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
11599 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | MEDICAL LICENSE | 11599 | 01 |
WI | MEDICAL LICENSE | 24228 | 01 |
Street Address |
O.U. MEDICAL CENTER, 1200 EVERETT DR, 7TH FLOOR, NORTH PAVILION |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
Find all providers in zip 73104 |
Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962762948 | Erynn Marie Bergner | Pediatrics | 1200 Everett Dr # 7504, Oklahoma City, OK 73104-5047 | 2012-05-23 |
1790853067 | Julie Denise Watson | Pediatrics | 3300 Nw Expwy, 4th Floor Nicu, Oklahoma City, OK 73112-4418 | 2006-12-02 |
1043219603 | Kimberly Dawn Ernst | Pediatrics | 1200 Everett Dr, 7th Floor North Pavilion, Div of Neonatology, Oklahoma City, OK 73104-5047 | 2005-07-17 |
1932632585 | Viktoria Stewart | Pediatrics | 1200 Everett Dr # 7504, Oklahoma City, OK 73104-5047 | 2017-04-10 |
1952796880 | Barbara Johnson | Pediatrics | 1200 Everett Dr # 7504, Oklahoma City, OK 73104 | 2015-03-30 |
1134523442 | Tavleen Sandhu | Pediatrics | 1200 Everett Dr # 7504, Oklahoma City, OK 73104-5047 | 2014-10-15 |
1427313626 | Aarthi Gunasekaran | Pediatrics | 1200 Everett Dr, Chnp 7504, Oklahoma City, OK 73104-5047 | 2012-07-12 |
1013275908 | Samuel Levin | Pediatrics | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2012-04-27 |
1033475611 | Lauren Nicole White | Pediatrics | 1200 Everett Dr, Chnp 7504, Oklahoma City, OK 73104-5047 | 2012-04-08 |
1477849248 | Frederico Vieira | Pediatrics | 1200 Everett Dr, Chnp 7504, Oklahoma City, OK 73104-5047 | 2011-06-21 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73104 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.