Provider Demographics
NPI:1194754929
Name:DAJAO, RISE FAITH E (MD)
Entity type:Individual
Prefix:DR
First Name:RISE FAITH
Middle Name:E
Last Name:DAJAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4053 TAYLOR RD
Mailing Address - Street 2:SUITE K
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-5537
Mailing Address - Country:US
Mailing Address - Phone:757-638-0085
Mailing Address - Fax:
Practice Address - Street 1:4053 TAYLOR RD
Practice Address - Street 2:SUITE K
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-5537
Practice Address - Country:US
Practice Address - Phone:757-484-3012
Practice Address - Fax:757-686-3025
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101-02026709207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA073296OtherANTHEM
VA073296OtherANTHEM