Healthcare Provider Details

I. General information

NPI: 1942410477
Provider Name (Legal Business Name): RANA FAROUK HAMDY M.D., M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 06/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW WEST WING 3.5, SUITE 100
WASHINGTON DC
20010-2916
US

IV. Provider business mailing address

111 MICHIGAN AVE NW WEST WING 3.5, SUITE 100
WASHINGTON DC
20010-2916
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-3671
  • Fax:
Mailing address:
  • Phone: 202-476-3671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number22155
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberMD044240
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: