Rajashree Koppolu, CPNP
Pediatrics · Palo Alto
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- 1
- 1 carrier
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location
Plans that list them
1 plan · 1 carrier
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Rajashree Koppolu’s office at (650) 497-8000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
California Medical Board record
Licence C15247 · Cancelled
Licence status: Cancelled · since 1953 · Washington University School of Medicine.
License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.
Matched on the licence number without its letter prefix; check the name before relying on it.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Professional record
- NPI
- 1609086651
- Licence
- CA 15247, CA 604243California C15247: Cancelled
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 363LP0200X (363LP0200X); Federal specialty code 163WP0200X (163WP0200X); Nurse practitioner (363L00000X)
- Mailing address
- 725 Welch Rd, Palo Alto, CA, 94304
- NPI first listed
- 2007-05-22
- NPI last updated
- 2016-08-08
This is when the NPI record was last certified, not a medical board exam.