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ILANGOVAN GOVINDARAJAN M.D. CMD NPI 1295755759


NPI Information

NPI: 1295755759
Provider Name: ILANGOVAN GOVINDARAJAN, M.D., CMD
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
975 SYCAMORE AVE
KINGMAN, AZ
ZIP 86409
Phone: (928) 692-1900
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Ilangovan Govindarajan, M.D., CMD is a specialist in Kingman, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Ilangovan Govindarajan, M.D., CMD NPI is 1295755759. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

975 SYCAMORE AVE
KINGMAN, AZ
ZIP 86409-548
Phone: (928) 692-1900
Fax: (928) 692-7334

The enumeration date for this NPI number is 7/20/2006 and was last updated on 3/21/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist25797ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G61742MEDICARE UPINARIZONA
2Z85116MEDICARE ID-TYPE UNSPECIFIEDARIZONA
3405036MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.