Basic Information
Provider Information
NPI: 1922368976
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GADHIA
FirstName: RAJ
MiddleName: A.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 20010 CENTURY BLVD
Address2: SUITE 200
City: GERMANTOWN
State: MD
PostalCode: 208741115
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1701 N GEORGE MASON DR
Address2: VIRGINIA HOSPITAL CENTER EMERGENCY DEPARTMENT
City: ARLINGTON
State: VA
PostalCode: 222053610
CountryCode: US
TelephoneNumber: 7035585000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/24/2012
LastUpdateDate: 07/15/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X0101260017VAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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