Basic Information
| Provider Information | |||||||||
| NPI: | 1396789673 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CORNEA CONSULTANTS, P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8138 WATSON ST | ||||||||
| Address2: | |||||||||
| City: | MC LEAN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 221024416 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7038275454 | ||||||||
| FaxNumber: | 7038275539 | ||||||||
| Practice Location | |||||||||
| Address1: | 8138 WATSON ST | ||||||||
| Address2: | |||||||||
| City: | MC LEAN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 221024416 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7038275454 | ||||||||
| FaxNumber: | 7038275539 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/16/2006 | ||||||||
| LastUpdateDate: | 09/07/2011 | ||||||||
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| AuthorizedOfficialLastName: | RAJPAL | ||||||||
| AuthorizedOfficialFirstName: | RAJESH | ||||||||
| AuthorizedOfficialMiddleName: | KUMAR | ||||||||
| AuthorizedOfficialTitleorPosition: | MEDICAL DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 7038275454 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | N | 193200000X MULTI-SPECIALTY GROUP | Eye and Vision Services Providers | Optometrist | 207W00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.