Provider Demographics
NPI:1639886609
Name:AHLAWAT, RAJESH KUMAR (MBBS, MS, MCH)
Entity Type:Individual
Prefix:DR
First Name:RAJESH
Middle Name:KUMAR
Last Name:AHLAWAT
Suffix:
Gender:M
Credentials:MBBS, MS, MCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1304 BROOKDALE TER
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-1352
Mailing Address - Country:US
Mailing Address - Phone:571-531-3130
Mailing Address - Fax:
Practice Address - Street 1:1 GUSTAVE L LEVY PL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6504
Practice Address - Country:US
Practice Address - Phone:212-241-3209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY318490208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology