Provider Demographics
NPI:1073316329
Name:RAJENDRAN, RITHIKA
Entity type:Individual
Prefix:DR
First Name:RITHIKA
Middle Name:
Last Name:RAJENDRAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13230 LAKE WOODLAND WAY
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-5014
Mailing Address - Country:US
Mailing Address - Phone:571-531-6416
Mailing Address - Fax:
Practice Address - Street 1:13230 LAKE WOODLAND WAY
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-5014
Practice Address - Country:US
Practice Address - Phone:571-531-6416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program