Healthcare Provider Details

I. General information

NPI: 1952245334
Provider Name (Legal Business Name): RAJ MAN DONGOL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 11/03/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 23RD ST NW
WASHINGTON DC
20037
US

IV. Provider business mailing address

4881 BATTERY LANE APT. 21
BETHESDA MD
20814
US

V. Phone/Fax

Practice location:
  • Phone: 202-677-6613
  • Fax:
Mailing address:
  • Phone: 240-316-6105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: