DR. RAJAGOPAL R NANDYAL


Address: O.u. Medical Center, 1200 Everett Dr, 7th Floor, North Pavilion, Oklahoma City, OK 73104
Phone: 4052715215

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OK MEDICAL LICENSE 11599 01
WI MEDICAL LICENSE 24228 01

Office Location

Street Address O.U. MEDICAL CENTER, 1200 EVERETT DR,
7TH FLOOR, NORTH PAVILION
City OKLAHOMA CITY
State OK
Zip Code 73104

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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
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City OKLAHOMA CITY
Zip Code 73104

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Dataset Information

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.

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