Provider Demographics
NPI:1639465172
Name:KARLOOPIA, RAJIV
Entity Type:Individual
Prefix:
First Name:RAJIV
Middle Name:
Last Name:KARLOOPIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14346 WARWICK BLVD
Mailing Address - Street 2:STE. 418
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-3814
Mailing Address - Country:US
Mailing Address - Phone:757-886-2096
Mailing Address - Fax:
Practice Address - Street 1:14346 WARWICK BLVD
Practice Address - Street 2:STE. 418
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-3814
Practice Address - Country:US
Practice Address - Phone:757-886-2096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401413256122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist