Provider Demographics
NPI:1679668461
Name:NATVARLAL RAJPARA, MD, PA
Entity Type:Organization
Organization Name:NATVARLAL RAJPARA, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NATVARLAL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJPARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-848-3858
Mailing Address - Street 1:224 WASHINGTON HEIGHTS MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157
Mailing Address - Country:US
Mailing Address - Phone:410-848-3858
Mailing Address - Fax:410-848-6795
Practice Address - Street 1:224 WASHINGTON HEIGHTS MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157
Practice Address - Country:US
Practice Address - Phone:410-848-3858
Practice Address - Fax:410-848-6795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0026246207RC0200X
MDD0029246207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD403507100Medicaid
MDC57617Medicare UPIN
MD414MMedicare ID - Type Unspecified