Provider Demographics
NPI:1952630725
Name:AJJARAPU, ESTHER S (MD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:S
Last Name:AJJARAPU
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 1:100 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:ST. CHARLES
Mailing Address - State:VA
Mailing Address - Zip Code:24282
Mailing Address - Country:US
Mailing Address - Phone:276-383-4428
Mailing Address - Fax:276-383-4927
Practice Address - Street 1:100 MAIN STREET
Practice Address - Street 2:
Practice Address - City:ST. CHARLES
Practice Address - State:VA
Practice Address - Zip Code:24282
Practice Address - Country:US
Practice Address - Phone:276-383-4428
Practice Address - Fax:276-383-4927
Is Sole Proprietor?:No
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101246589207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine