Provider Demographics
NPI:1598058992
Name:VALSAN, RAJITHA (MD)
Entity Type:Individual
Prefix:
First Name:RAJITHA
Middle Name:
Last Name:VALSAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16605 SOUTHWEST FWY STE 175
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-0003
Mailing Address - Country:US
Mailing Address - Phone:713-777-5334
Mailing Address - Fax:713-429-5207
Practice Address - Street 1:16605 SOUTHWEST FWY STE 175
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-0003
Practice Address - Country:US
Practice Address - Phone:713-777-5334
Practice Address - Fax:713-429-5207
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ2217207R00000X, 208M00000X
MI4301097890207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8EV367OtherBCBS TX
TX4822095OtherAETNA
TX1449538OtherCIGNA
TX344464801Medicaid
TXP01472348OtherRR MEDICARE
TX8EV367OtherBCBS TX