Provider Demographics
NPI:1801808266
Name:RAJASINGH, MOSES CHRISTADOSS (MD)
Entity type:Individual
Prefix:
First Name:MOSES
Middle Name:CHRISTADOSS
Last Name:RAJASINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:M CHRISTADOSS
Other - Middle Name:
Other - Last Name:RAJASINGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:522 IDLEWILD AVE
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-3824
Mailing Address - Country:US
Mailing Address - Phone:410-822-5571
Mailing Address - Fax:410-822-3859
Practice Address - Street 1:2773 HARRIS ST STE A
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95503-4866
Practice Address - Country:US
Practice Address - Phone:707-442-1182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0041723174400000X
CAA45000207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE96314Medicare UPIN