Healthcare Provider Details
I. General information
NPI: 1821278706
Provider Name (Legal Business Name): RUMANA KAZMI MD PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/08/2007
Last Update Date: 11/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
106 IRVING ST NW SUITE 306
WASHINGTON DC
20010-2927
US
IV. Provider business mailing address
106 IRVING ST NW SUITE 306
WASHINGTON DC
20010-2927
US
V. Phone/Fax
- Phone: 202-291-2900
- Fax: 202-869-7699
- Phone: 202-291-2900
- Fax: 202-869-7699
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | MD035718 |
| License Number State | DC |
VIII. Authorized Official
Name: DR.
RUMANA
KAZMI
Title or Position: CEO
Credential: M.D
Phone: 202-291-2900