Basic Information
| Provider Information | |||||||||
| NPI: | 1790887800 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RAJPAL | ||||||||
| FirstName: | RAJESH | ||||||||
| MiddleName: | KUMAR | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8138 WATSON STREET | ||||||||
| Address2: | |||||||||
| City: | MC LEAN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 221024416 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7038275454 | ||||||||
| FaxNumber: | 7038275539 | ||||||||
| Practice Location | |||||||||
| Address1: | 8138 WATSON STREET | ||||||||
| Address2: | |||||||||
| City: | MC LEAN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 221024416 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7038275454 | ||||||||
| FaxNumber: | 7038275539 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/01/2006 | ||||||||
| LastUpdateDate: | 08/28/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/28/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 0101050538 | VA | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.