Basic Information
Provider Information
NPI: 1194981308
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RATNARAJAH
FirstName: GOKULAN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3525 OLENTANGY RIVER RD
Address2: SUITE 4330
City: COLUMBUS
State: OH
PostalCode: 432143937
CountryCode: US
TelephoneNumber: 6142556900
FaxNumber:  
Practice Location
Address1: 3525 OLENTANGY RIVER RD
Address2: SUITE 4330
City: COLUMBUS
State: OH
PostalCode: 432143937
CountryCode: US
TelephoneNumber: 6142556900
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/07/2008
LastUpdateDate: 01/20/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0300X35.125915OHY Allopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
208M00000X35.125915OHN Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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