Healthcare Provider Details

I. General information

NPI: 1497757124
Provider Name (Legal Business Name): RANKIN ORTHOPAEDIC & SPORTS MEDICINE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2005
Last Update Date: 07/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 VARNUM ST NE SUITE 312
WASHINGTON DC
20017-2107
US

IV. Provider business mailing address

1160 VARNUM ST NE SUITE 312
WASHINGTON DC
20017-2107
US

V. Phone/Fax

Practice location:
  • Phone: 202-526-7031
  • Fax: 202-529-8711
Mailing address:
  • Phone: 202-526-7031
  • Fax: 202-529-8711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EDWARD ANTHONY RANKIN
Title or Position: MD
Credential: MD
Phone: 202-526-7031