Provider Demographics
NPI:1245321934
Name:SATOURI, RAJAA (MD)
Entity type:Individual
Prefix:DR
First Name:RAJAA
Middle Name:
Last Name:SATOURI
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 1:10777 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6903
Mailing Address - Country:US
Mailing Address - Phone:703-246-2479
Mailing Address - Fax:703-273-0825
Practice Address - Street 1:10777 MAIN ST
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6903
Practice Address - Country:US
Practice Address - Phone:703-246-2479
Practice Address - Fax:703-273-0825
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012211342083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine