1225211568 NPI number — P.SINGH. AJRAWAT M.D. PA

Table of content: (NPI 1225211568)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225211568 NPI number — P.SINGH. AJRAWAT M.D. PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
P.SINGH. AJRAWAT M.D. PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225211568
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/27/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7327 HANOVER PKWY STE A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENBELT
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20770-3619
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-474-7246
Provider Business Mailing Address Fax Number:
301-474-3282

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7327 HANOVER PKWY STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENBELT
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20770-3619
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-474-7246
Provider Business Practice Location Address Fax Number:
301-474-3282
Provider Enumeration Date:
12/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
AJRAWAT
Authorized Official First Name:
SUKHVEEN
Authorized Official Middle Name:
K
Authorized Official Title or Position:
PSYCHIATRIST
Authorized Official Telephone Number:
301-474-7246

Provider Taxonomy Codes

  • Taxonomy code: 207LP2900X , with the licence number:  D-32506 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 625200100 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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