Sadhana Rajamoorthi

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101262124 Issued in VA

Practice address

4151 Bladensburg Rd
Colmar Manor, MD 20722-1928

Phone

(301) 699-7707

Fax

(301) 779-9001

NPI assigned

Apr 16, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497571200000",
    "number": "1770902801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MAPLE AVE",
            "address_2": "STE 200",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464243",
            "telephone_number": "301-699-7700",
            "fax_number": "301-779-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 BLADENSBURG RD",
            "city": "COLMAR MANOR",
            "state": "MD",
            "postal_code": "207221928",
            "telephone_number": "301-699-7707",
            "fax_number": "301-779-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAMOORTHI",
        "first_name": "SADHANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2017-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101262124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Worku Nega
• Jessie Ngandjui, DO
• Phuc L Nguyen, MD
• PHS Ft Lincoln Family Medicine Ctr
• Providence Health Services
• Breanna Ramsey, MD
• Nirmal Ravi
• Aida Rezene, D.O.
• Mia E Riley, M.D.
• John Axford Roegner, M.D.

• Family Medicine Physician in Colmar Manor, MD
• Providers in Colmar Manor, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.