Healthcare Provider Details
I. General information
NPI: 1740693001
Provider Name (Legal Business Name): AYESHA RABBANI SAYA MD MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/04/2014
Last Update Date: 05/02/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2041 GEORGIA AVE NW
WASHINGTON DC
20060-1544
US
IV. Provider business mailing address
2041 GEORGIA AVE NW STE 3400
WASHINGTON DC
20060-0001
US
V. Phone/Fax
- Phone: 202-865-6679
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | D91502 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080N0001X |
| Taxonomy | Neonatal-Perinatal Medicine Physician |
| License Number | MD210002755 |
| License Number State | DC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: