SUPRAJA JANAKI RAJAGOPALAN (NPI# 1770960726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770960726 |
| Entity Type | Individual |
| Full Name | SUPRAJA JANAKI RAJAGOPALAN |
| Credential | M.D. |
| Practice Address |
1340 Boylston St Boston MA 02215-4302 |
| Practice Telephone | 6172670900 |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 281247 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
1340 BOYLSTON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477541217 | Stephen Louis Boswell | Internal Medicine | 1340 Boylston St, Boston, MA 02215-4302 | 2005-10-06 |
| 1629681762 | Yvette Leblanc | Counselor | 1340 Boylston St, Boston, MA 02215-4302 | 2020-08-28 |
| 1689299521 | Simonne Katz | Social Worker | 1340 Boylston St, Boston, MA 02215-4302 | 2020-06-16 |
| 1922622992 | Emily Price | Social Worker | 1340 Boylston St, Boston, MA 02215-4302 | 2020-06-04 |
| 1962021931 | Emily F Thomas | Student in an Organized Health Care Education/Training Program | 1340 Boylston St, Boston, MA 02215-4302 | 2020-04-10 |
| 1720616303 | Dena Anne Shuster | Student in an Organized Health Care Education/Training Program | 1340 Boylston St, Boston, MA 02215-4302 | 2020-03-30 |
| 1427688282 | Annie Lynn Crossman | Counselor | 1340 Boylston St, Boston, MA 02215-4302 | 2020-01-21 |
| 1902452022 | Sophia Turner Axtman | Nurse Practitioner | 1340 Boylston St, Boston, MA 02215-4302 | 2019-08-14 |
| 1063065290 | Christina M King | Social Worker | 1340 Boylston St, Boston, MA 02215-4302 | 2019-07-17 |
| 1912563180 | Julian Allroth Dormitzer | Nurse Practitioner | 1340 Boylston St, Boston, MA 02215-4302 | 2019-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164909925 | Estefania D. Rivera Mudafort | Obstetrics & Gynecology | 850 Harrison Ave Fl 5, Boston, MA 02118-4001 | 2018-07-25 |
| 1376035881 | Erika R Wallace | Obstetrics & Gynecology | 800 Washington Street #22, Obgyn Residency Office, Boston, MA 02111 | 2018-05-31 |
| 1649760851 | Andrea Jaresova | Obstetrics & Gynecology | 330 Brookline Ave # Shapiro8, Boston, MA 02215-5491 | 2018-05-14 |
| 1063920767 | Jean Wilner Noel | Obstetrics & Gynecology | 11 Nevins St Ste 302, Boston, MA 02135-3514 | 2018-01-16 |
| 1740705243 | Ronan Paul Sugrue | Obstetrics & Gynecology | 75 Francis Street Brigham and Womens' Hospital, Department of Obstetrics and Gynecology, Boston, MA 02115 | 2017-08-07 |
| 1386173144 | Matthew Shear | Obstetrics & Gynecology | 330 Brookline Ave # 3, Boston, MA 02215-5400 | 2017-06-06 |
| 1336678390 | Lindsey Robyn Cypen | Obstetrics & Gynecology | 330 Brookline Avenue East Campus, Kirstein 3, Boston, MA 02215 | 2017-06-05 |
| 1629431614 | Victoria Chia | Obstetrics & Gynecology | 85 E Concord St Fl 6, Boston, MA 02118-2335 | 2016-03-29 |
| 1801277736 | Karissa Hammer | Obstetrics & Gynecology | 55 Fruit St Ste 10a, Boston, MA 02114-2696 | 2015-06-16 |
| 1831584895 | Chenchen Huang Sun | Obstetrics & Gynecology | 800 Washigton St., 800 Washington St, Boston, MA 02111 | 2015-04-06 |
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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.