Healthcare Provider Details

I. General information

NPI: 1003906488
Provider Name (Legal Business Name): RUMANA KAZMI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 IRVING ST NW 306
WASHINGTON DC
20010-2927
US

IV. Provider business mailing address

106 IRVING ST NW 306
WASHINGTON DC
20010-2970
US

V. Phone/Fax

Practice location:
  • Phone: 202-291-2900
  • Fax: 202-829-7699
Mailing address:
  • Phone: 202-291-2900
  • Fax: 202-829-7699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number10673
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: