Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | D0087080 | MD |
Y | 111NI0900X | Internist | D0087080 | MD |
NPI | 1003265018 |
---|---|
Provider Name | Amita Rajani |
First Address | Baltimore, MD 21201-1524 |
Second Address | Falls Church, VA 22042 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2016 |
Last Update Date | 05/08/2019 |