Healthcare Provider Details

I. General information

NPI: 1760010136
Provider Name (Legal Business Name): RAJPAL AUJLA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3120 GOVERNORS PLACE BLVD
KETTERING OH
45409-1328
US

IV. Provider business mailing address

427 WATER ST APT 418
DAYTON OH
45402-2174
US

V. Phone/Fax

Practice location:
  • Phone: 937-293-1622
  • Fax: 937-245-6308
Mailing address:
  • Phone: 440-223-7435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35.146514
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: