Provider Demographics
NPI:1720669427
Name:ESUA, RAJIV ESUA
Entity Type:Individual
Prefix:
First Name:RAJIV
Middle Name:ESUA
Last Name:ESUA
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 1:9012 CONTINENTAL PL
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4732
Mailing Address - Country:US
Mailing Address - Phone:202-813-7387
Mailing Address - Fax:
Practice Address - Street 1:9012 CONTINENTAL PL
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-4732
Practice Address - Country:US
Practice Address - Phone:202-813-7387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA15691374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide