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General NPI Number Information
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NPI Number | 1194939033
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Entity Type | Individual
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Provider Name | RAJESH PURI M.D., FAAP, FACPH
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 10/10/2015
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Provider Practice Location Address
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Address Line | 2221 N BUCHANAN ST SUITE B.
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City | ARLINGTON
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State | VA
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Zip | 22207-2526
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Country | US
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Telephone | 703-688-2468
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Fax | 703-688-2608
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Provider Business Mailing Address
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Address Line | 2221 N BUCHANAN ST
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City | ARLINGTON
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State | VA
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Zip | 22207-2526
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Country | US
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Telephone | 703-688-2468
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Fax | 703-859-7689
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101047343
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | 0101047343
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0101047343
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License Number State | VA
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