Provider Demographics
NPI:1457771339
Name:RAJESHWAR, DARA LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:DARA
Middle Name:LYNN
Last Name:RAJESHWAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DARA
Other - Middle Name:LYNN
Other - Last Name:ZYBURO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:400 E 66TH ST APT 21A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-9320
Mailing Address - Country:US
Mailing Address - Phone:239-207-5624
Mailing Address - Fax:
Practice Address - Street 1:525 E 68TH ST RM M-610
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-3970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-18
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program