Provider Demographics
NPI:1558651018
Name:RAJASEKHAR, KAVITA (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:KAVITA
Middle Name:
Last Name:RAJASEKHAR
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNM EOHS
Mailing Address - Street 2:1 UNM MSC 10-5550
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-0001
Mailing Address - Country:US
Mailing Address - Phone:505-272-8043
Mailing Address - Fax:505-272-8044
Practice Address - Street 1:UNM EOHS
Practice Address - Street 2:1 UNM MSC 10-5550
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-272-8043
Practice Address - Fax:505-272-8044
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2014-07202083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine