Provider Demographics
NPI:1962613943
Name:RAJPARA, VIDYA S (MD)
Entity type:Individual
Prefix:DR
First Name:VIDYA
Middle Name:S
Last Name:RAJPARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11030 RCA CENTER DR
Mailing Address - Street 2:#3015
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4276
Mailing Address - Country:US
Mailing Address - Phone:561-776-7041
Mailing Address - Fax:
Practice Address - Street 1:11030 RCA CENTER DR
Practice Address - Street 2:#3015
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4276
Practice Address - Country:US
Practice Address - Phone:561-776-7041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME106969207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology