Provider Demographics
NPI:1275743627
Name:MAHAJAN, SAJAN T (MD)
Entity Type:Individual
Prefix:DR
First Name:SAJAN
Middle Name:T
Last Name:MAHAJAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:21785 FILIGREE COURT
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-6214
Mailing Address - Country:US
Mailing Address - Phone:703-726-1201
Mailing Address - Fax:703-858-7150
Practice Address - Street 1:4001 FAIR RIDGE DRIVE
Practice Address - Street 2:SUITE 103
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-2917
Practice Address - Country:US
Practice Address - Phone:703-385-5203
Practice Address - Fax:703-385-3058
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2011-08-30
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Provider Licenses
StateLicense IDTaxonomies
VA01012493352085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology