Dr. Viswanathan Rajagopalan, M.B.B.S
Surgery in Livonia, MI. Individual provider (NPI-1).
NPI number1760626436
StatusActive
Last updated in NPPESMar 26, 2025
Details
- NPI
- 1760626436
- Entity type
- Individual (NPI-1)
- Name
- Dr. Viswanathan Rajagopalan
- Credential
- M.B.B.S
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 27, 2009
- Certification date
- Mar 26, 2025
- Last updated
- Mar 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 4301510983 | MI | Yes |
| 2086S0102X | Surgery, Surgical Critical Care | MD2017-0836 | NM | |
| 2086S0102X | Surgery, Surgical Critical Care | 254620 | NY | |
| 2086S0102X | Surgery, Surgical Critical Care | MD417803 | PA | |
| 2086S0102X | Surgery, Surgical Critical Care | 4301510983 | MI | |
| 2086S0102X | Surgery, Surgical Critical Care | 01079763A | IN | |
| 2086S0127X | Surgery, Trauma Surgery | MD2017-0836 | NM | |
| 2086S0127X | Surgery, Trauma Surgery | 254620 | NY | |
| 2086S0127X | Surgery, Trauma Surgery | MD417803 | PA | |
| 2086S0127X | Surgery, Trauma Surgery | 4301510983 | MI | |
| 2086S0127X | Surgery, Trauma Surgery | 01079763A | IN | |
| 208600000X | Surgery | MD2017-0836 | NM | |
| 208600000X | Surgery | 254620-1 | NY | |
| 208600000X | Surgery | MD417803 | PA | |
| 208600000X | Surgery | 01079763A | IN |
Practice location
14290 Knolson StLivonia, MI 48154-4759
Phone 914-563-2729
Mailing address
14290 Knolson StLivonia, MI 48154-4759
Phone 914-563-2729
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