DR. PRADEEP RAJAGOPALAN (NPI# 1750354262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750354262 |
| Entity Type | Individual |
| Full Name | DR. PRADEEP RAJAGOPALAN |
| Credential | MD |
| Practice Address |
500 Martha Jefferson Dr Charlottesville Radiology Charlottesville VA 22911-4668 |
| Mailing Address |
Po Box 2546 Virginia Beach VA 23450-2546 |
| Practice Telephone | 4342444580 |
| Practice Fax Number | 4342444579 |
| Mailing Telephone | 4342444580 |
| Mailing Fax Number | 4342444579 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2013-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101226799 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 007225601 | 05 | |
| VA | RRMED | 300118833 | 01 |
| Street Address |
500 MARTHA JEFFERSON DR CHARLOTTESVILLE RADIOLOGY |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22911-4668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346248663 | Martha Jefferson Hospital | General Acute Care Hospital | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2005-07-11 |
| 1316548175 | Tiffany Kristen White | Pharmacist | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2020-11-06 |
| 1174094114 | Deveryn Bailey | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2018-12-17 |
| 1013496116 | Jennifer Graham Stancil | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2018-08-09 |
| 1609374313 | Stephanie Rowe | Physician Assistant | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2018-01-28 |
| 1629585450 | Jennifer L Raymond | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2018-01-02 |
| 1033634845 | Melissa Volpe | Physician Assistant | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2017-08-14 |
| 1376068973 | Laura R Trissel | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2017-08-04 |
| 1497277396 | Gina Gilmore | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2017-07-12 |
| 1013437854 | Alison Burkholder Heavenridge | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2017-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840912 | Hearing At Home | Hearing Instrument Specialist | 103 Free Brige Ln, Charlottesville, VA 22911 | 2016-02-03 |
| 1649637752 | Ebony Cosby | Contractor | 2500 Boulders Rd, Charlottesville, VA 22911 | 2016-01-20 |
| 1629452727 | Ahmed M Murtuza | Pharmacist | 925 Dorchester Pl Apt. 103, Charlottesville, VA 22911 | 2015-07-17 |
| 1083093231 | Kimberly P Tran | Dentist | 1470 Pantops Mountain Pl Ste 1, Charlottesville, VA 22911 | 2015-05-20 |
| 1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
| 1538599980 | Commonwealth Dental Anesthesiology Inc | Clinic/Center | 1460-b Pantops Mountain Place, Charlottesville, VA 22911 | 2013-11-21 |
| 1831386606 | Hudson Chiropractic P.C. | Chiropractor | 103-a Free Bridge Lane, Charlottesville, VA 22911 | 2007-09-26 |
| 1386863421 | Laura P Smith | Specialist | 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 | 2007-04-25 |
| 1609928621 | Bl Enterprises, LLC | Physical Therapist | 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 | 2007-01-18 |
| 1972660959 | Kenneth I. Barron | Obstetrics & Gynecology | 630 Peter Jefferson Pkwy Ste 140b, Charlottesville, VA 22911 | 2007-01-02 |
| Find all providers in zip 22911 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992257497 | Ahmed Refaat Dakhly Mohamed | Radiology | 428 Monroe Ln, Apt 206, Charlottesville, VA 22903-3325 | 2016-10-31 |
| 1033439500 | University of Virginia Imaging, LLC | Radiology | 2965 Ivy Road, Suite 101, Charlottesville, VA 22903 | 2010-06-08 |
| 1518281476 | University of Virginia Imaging, LLC | Radiology | 245 Crispell Drive, Charlottesville, VA 22903 | 2010-03-22 |
| 1700014792 | Garrett D. Walters | Radiology | 945 Rockledge Dr, Charlottesville, VA 22908-9775 | 2009-06-29 |
| 1649440959 | Matthew D. Moore | Radiology | Uva Children's Hospital @ The Battle Bldg, Charlottesville, VA 22908-4617 | 2008-03-04 |
| 1376733063 | Alison C. Derbes | Radiology | 107 S 1st St, Apartment 401, Charlottesville, VA 22902 | 2007-07-28 |
| 1003029620 | Alfred T Shilling | Radiology | 1124 Hilltop Rd, Charlottesville, VA 22903-1221 | 2007-05-08 |
| 1104848902 | Thomas Dix Henry | Radiology | 687 Tilman Rd, Charlottesville, VA 22903-7060 | 2006-07-24 |
| 1639128259 | University of Virginia Imaging, LLC | Radiology | 415 Ray C Hunt Dr Ste 1100, Charlottesville, VA 22903-2980 | 2006-05-09 |
| 1831163831 | Stanley Washington | Radiology | 1215 Lee St Fl 1, Charlottesville, VA 22908-4590 | 2006-02-15 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22911 |
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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.