Active NPI
Rajagopal - Ramachandra, M.D
- Internal Medicine Physician
- Lanacaster, OH
National Provider Identifier
1750489852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12121
- Practice address
- 1643 Cloverdale Dr.
Lanacaster, OH 43130-8109 - Phone
- (740) 653-6145
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12121 | OK | Primary |
Addresses
Primary practice location
1643 Cloverdale Dr.
Lanacaster, OH 43130-8109
Mailing address
1643 Cloverdale Dr
Lancaster, OH 43130-8109
Phone (740) 653-6145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12121 | OK | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750489852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1643 CLOVERDALE DR",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431308109",
"telephone_number": "740-653-6145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1643 CLOVERDALE DR.",
"city": "LANACASTER",
"state": "OH",
"postal_code": "431308109",
"telephone_number": "740-653-6145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMACHANDRA",
"first_name": "RAJAGOPAL",
"middle_name": "-",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "12121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.