Provider Demographics
NPI:1689758070
Name:RAJASINGHAM, SHUSILA R (MD)
Entity Type:Individual
Prefix:DR
First Name:SHUSILA
Middle Name:R
Last Name:RAJASINGHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9715 MEDICAL CENTER DRIVE
Mailing Address - Street 2:SUITE 506
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850
Mailing Address - Country:US
Mailing Address - Phone:301-545-6171
Mailing Address - Fax:301-545-6170
Practice Address - Street 1:9715 MEDICAL CENTER DRIVE
Practice Address - Street 2:SUITE 506
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:301-545-6171
Practice Address - Fax:301-545-6170
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0030140174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCF6150001OtherBCBS
MD363657OtherALLIANCE
MD0500240OtherUNITED HEALTHCARE
MD21385OtherPRIORITY PARTNERS
MD363657OtherMAMSI
MD2418048OtherCIGNA
MD2813550OtherAETNA
MDKB18BEOtherBCBS
MD805524OtherJOHNS HOPKINS
454147OtherTRICARE