Provider Demographics
NPI:1134428543
Name:DHINGRA, RAJIVKUMAR
Entity type:Individual
Prefix:
First Name:RAJIVKUMAR
Middle Name:
Last Name:DHINGRA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22405-2650
Mailing Address - Country:US
Mailing Address - Phone:540-371-8249
Mailing Address - Fax:540-361-1279
Practice Address - Street 1:203 KINGS HWY
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-2650
Practice Address - Country:US
Practice Address - Phone:540-371-8249
Practice Address - Fax:540-361-1279
Is Sole Proprietor?:No
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202208601183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist