Basic Information
Provider Information
NPI: 1548463268
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAJPUT
FirstName: ZESHAN
MiddleName: AHMED
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5755 CEDAR LN
Address2: THE COLLABORATIVE INPATIENT MEDICINE SERVICE AT HCGH
City: COLUMBIA
State: MD
PostalCode: 210442912
CountryCode: US
TelephoneNumber: 4107208695
FaxNumber: 4108844643
Practice Location
Address1: 5755 CEDAR LN
Address2: THE COLLABORATIVE INPATIENT MEDICINE SERVICE AT HCGH
City: COLUMBIA
State: MD
PostalCode: 210442912
CountryCode: US
TelephoneNumber: 4107208695
FaxNumber: 4108844643
Other Information
ProviderEnumerationDate: 06/08/2007
LastUpdateDate: 12/07/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XP20654MDY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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