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General NPI Number Information
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NPI Number | 1770947806
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Entity Type | Individual
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Provider Name | RAJIV ASHOK KABADI MD
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Gender | Male
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 110 IRVING ST NW
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City | WASHINGTON
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State | DC
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Zip | 20010
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Country | US
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Telephone | 202-877-7000
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Fax | 202-877-3455
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Provider Business Mailing Address
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Address Line | 1830 TOWN CENTER DR STE 405
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City | RESTON
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State | VA
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Zip | 20190-3218
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Country | US
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Telephone | 703-208-7257
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Fax | 855-374-5342
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0116032509
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | MD210002131
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License Number State | DC
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