Individual
RAJAT GARG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44035 RIVERSIDE PKWY, #400, LEESBURG, VA 20176-8260
(703) 858-5421
(703) 858-9573
Mailing address
2901 TELESTAR CT STE 300, FALLS CHURCH, VA 22042-1263
(703) 591-1688
(703) 591-1445
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101056279
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101056279
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062200900
—
DC
01
—
1144254749
VA MEDICAID
VA
05
—
1144254749
—
VA
05
—
556227900
—
MD
Enumeration date
07/10/2006
Last updated
08/27/2021
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