Provider Demographics
NPI:1770658668
Name:RAJURKAR, MADHUSUDAN G (MD)
Entity type:Individual
Prefix:DR
First Name:MADHUSUDAN
Middle Name:G
Last Name:RAJURKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:16490 STEDHAM CIR APT 103
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22025-2101
Mailing Address - Country:US
Mailing Address - Phone:703-223-9564
Mailing Address - Fax:
Practice Address - Street 1:3700 FETTLER PARK DR
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22025-2050
Practice Address - Country:US
Practice Address - Phone:757-314-8901
Practice Address - Fax:757-314-8934
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2025-08-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101036201208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics