Provider Demographics
NPI:1962653402
Name:RAJASEKHARA, SANDHYA H (MD)
Entity Type:Individual
Prefix:
First Name:SANDHYA
Middle Name:H
Last Name:RAJASEKHARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:203 BILL SOURS DR
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23693-3364
Mailing Address - Country:US
Mailing Address - Phone:757-922-3085
Mailing Address - Fax:866-362-7725
Practice Address - Street 1:3057 GEORGE WASHINGTON MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:HAYES
Practice Address - State:VA
Practice Address - Zip Code:23072-3300
Practice Address - Country:US
Practice Address - Phone:757-922-3085
Practice Address - Fax:866-362-7725
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-02
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01012465202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry