Individual
THEVARAJANI RAJAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
664 LINCOLN ST, PORTSMOUTH, VA 23704-4818
(757) 393-6363
(757) 393-1336
Mailing address
664 LINCOLN ST, PORTSMOUTH, VA 23704-4818
(757) 393-6363
(757) 393-1336
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101240271
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904574
—
NC
Enumeration date
07/14/2006
Last updated
12/21/2010
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