Provider Demographics
NPI:1346844677
Name:RAMACHANDRAN NAIR, RAJASREE
Entity Type:Individual
Prefix:
First Name:RAJASREE
Middle Name:
Last Name:RAMACHANDRAN NAIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RAJASREE
Other - Middle Name:
Other - Last Name:RAMACHANDRAN NAIR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:23684 STRICKLAND DR
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20148-7710
Mailing Address - Country:US
Mailing Address - Phone:571-367-6039
Mailing Address - Fax:
Practice Address - Street 1:23684 STRICKLAND DR
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20148-7710
Practice Address - Country:US
Practice Address - Phone:571-367-6039
Practice Address - Fax:571-397-3510
Is Sole Proprietor?:No
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202209392183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist