Individual ProviderAmita RajaniInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Road Inova Fairfax Medical Campus, Department Of Medicine, Npt-2, Falls Church, VA 22042(703) 776-7780PECOS EnrollmentBased on the most recent information from CMS, provider Amita Rajani is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1003265018Provider TypeIndividualFull NameRajani, AmitaCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date6/9/2016Last Updated8/5/2019Contact InformationPractice LocationPractice Address3300 Gallows Road Inova Fairfax Medical Campus, Department Of Medicine, Npt-2, Falls Church, VA 22042Phone(703) 776-7780FaxUnlisted FaxMailing LocationMailing Address10 N Greene St, Baltimore, MD 21201-1524PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseD0087080Maryland