Provider Demographics
NPI:1841365913
Name:RAJUR, KRUPA S (MD)
Entity type:Individual
Prefix:DR
First Name:KRUPA
Middle Name:S
Last Name:RAJUR
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 1:5 KEYSTONE WAY
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-5420
Mailing Address - Country:US
Mailing Address - Phone:978-470-3554
Mailing Address - Fax:
Practice Address - Street 1:38 TYLER ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2943
Practice Address - Country:US
Practice Address - Phone:603-882-2921
Practice Address - Fax:603-882-8676
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH10343207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30011679Medicaid
NHRE4824Medicare ID - Type Unspecified
NH30011679Medicaid