Provider Demographics
NPI:1679918338
Name:RAJBAN, RAJNITA (DC)
Entity Type:Individual
Prefix:DR
First Name:RAJNITA
Middle Name:
Last Name:RAJBAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 MORRIS PARK AVE STE 1B
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1463
Mailing Address - Country:US
Mailing Address - Phone:718-684-6030
Mailing Address - Fax:
Practice Address - Street 1:1120 MORRIS PARK AVE STE 1B
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-684-6030
Practice Address - Fax:718-684-6035
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-07
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00708600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor