Provider Demographics
NPI:1063067841
Name:RAJPUT, DARPAHA VEERAJ
Entity type:Individual
Prefix:
First Name:DARPAHA
Middle Name:VEERAJ
Last Name:RAJPUT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 S KENDALL AVE APT 44
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49006-4243
Mailing Address - Country:US
Mailing Address - Phone:269-569-3543
Mailing Address - Fax:
Practice Address - Street 1:306 S KENDALL AVE APT 44
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49006-4243
Practice Address - Country:US
Practice Address - Phone:269-569-3543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist