Healthcare Provider Details

I. General information

NPI: 1497405773
Provider Name (Legal Business Name): RAJPRIYA VENKATARAJAN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6810 10TH ST
GREELEY CO
80634-8254
US

IV. Provider business mailing address

6810 10TH ST
GREELEY CO
80634-8254
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-9000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberDR.0077432
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: