Provider Demographics
NPI:1669852083
Name:SEEVARATNAM, RAJINI (OD, MSC)
Entity Type:Individual
Prefix:DR
First Name:RAJINI
Middle Name:
Last Name:SEEVARATNAM
Suffix:
Gender:F
Credentials:OD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5711 SARVIS AVE STE 402
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1365
Mailing Address - Country:US
Mailing Address - Phone:301-277-4844
Mailing Address - Fax:301-927-3221
Practice Address - Street 1:5711 SARVIS AVE STE 402
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1365
Practice Address - Country:US
Practice Address - Phone:301-277-4844
Practice Address - Fax:301-927-3221
Is Sole Proprietor?:No
Enumeration Date:2015-06-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618002407152W00000X
DCOP1000321152W00000X
MDTA2464152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist