Provider Demographics
NPI:1770649949
Name:RAWTANI, MEERA AJIT (MD)
Entity Type:Individual
Prefix:DR
First Name:MEERA
Middle Name:AJIT
Last Name:RAWTANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:120 SISTER PIERRE DR
Mailing Address - Street 2:SUITE # 504
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7516
Mailing Address - Country:US
Mailing Address - Phone:410-337-8802
Mailing Address - Fax:410-337-0642
Practice Address - Street 1:120 SISTER PIERRE DR
Practice Address - Street 2:SUITE # 504
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7516
Practice Address - Country:US
Practice Address - Phone:410-337-8802
Practice Address - Fax:410-337-0642
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD26961207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB70070Medicare ID - Type Unspecified