Provider Demographics
NPI:1467544312
Name:RAJAGOPAL, CHITRA (MD)
Entity Type:Individual
Prefix:
First Name:CHITRA
Middle Name:
Last Name:RAJAGOPAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:18111 PRINCE PHILIP DR
Mailing Address - Street 2:#327
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832
Mailing Address - Country:US
Mailing Address - Phone:301-774-6136
Mailing Address - Fax:301-570-0136
Practice Address - Street 1:9715 MEDICAL CENTER DR
Practice Address - Street 2:#221
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:301-774-6136
Practice Address - Fax:301-570-0136
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2010-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0042452207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD131901900Medicaid
F93418Medicare UPIN
MD131901900Medicaid