MEDICARE: RAJAGOPALAN RAVI IYER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP1600X	Pastoral Counselor

General Provider Information

NPI Number	:	1891659041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJAGOPALAN RAVI IYER

Provider Business Mailing Address
First Line	:	2723 TIMBER BRIAR CIR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77059-2901
Country	:	US
Telephone Number	:	832-236-0605
Fax Number	:

Provider Business Practice Location Address
First Line	:	2723 TIMBER BRIAR CIR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77059-2901
Country	:	US
Telephone Number	:	832-236-0605
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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Directions to “ RAJAGOPALAN RAVI IYER ” Practice Location

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