Healthcare Provider Details

I. General information

NPI: 1720913312
Provider Name (Legal Business Name): USHA RAJAGOPAL MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1244 LARKIN ST # 200
SAN FRANCISCO CA
94109-4716
US

IV. Provider business mailing address

1244 LARKIN ST # 200
SAN FRANCISCO CA
94109-4716
US

V. Phone/Fax

Practice location:
  • Phone: 415-392-3333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: USHA RAJAGOPAL
Title or Position: MD
Credential:
Phone: 415-392-3333