Provider Demographics
NPI:1891960035
Name:RAO, RAJANI GIRIMAJI (DMD)
Entity Type:Individual
Prefix:DR
First Name:RAJANI
Middle Name:GIRIMAJI
Last Name:RAO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-1926
Mailing Address - Country:US
Mailing Address - Phone:201-327-1311
Mailing Address - Fax:201-818-5096
Practice Address - Street 1:133 E MAIN ST
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1926
Practice Address - Country:US
Practice Address - Phone:201-327-1311
Practice Address - Fax:201-818-5096
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA218671223G0001X
NJ220102435501122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice