Provider Demographics
NPI:1043473168
Name:MAJITHIA, RAJIV T (MD FACG AGAF)
Entity type:Individual
Prefix:
First Name:RAJIV
Middle Name:T
Last Name:MAJITHIA
Suffix:
Gender:M
Credentials:MD FACG AGAF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 N BRIGHTLEAF BLVD
Mailing Address - Street 2:SUITE 1610
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-4407
Mailing Address - Country:US
Mailing Address - Phone:919-938-7182
Mailing Address - Fax:919-938-7185
Practice Address - Street 1:507 N BRIGHTLEAF BLVD STE 202
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-4405
Practice Address - Country:US
Practice Address - Phone:919-791-2040
Practice Address - Fax:919-791-2041
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2012-02120207RG0100X
DCMD038719390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program