Healthcare Provider Details

I. General information

NPI: 1083174171
Provider Name (Legal Business Name): RAHEIM TURNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2019
Last Update Date: 07/31/2020
Certification Date: 07/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 GEORGIA AVE NW STE 4300
WASHINGTON DC
20060-2608
US

IV. Provider business mailing address

2041 GEORGIA AVE NW STE 4300
WASHINGTON DC
20060-2243
US

V. Phone/Fax

Practice location:
  • Phone: 202-865-6725
  • Fax:
Mailing address:
  • Phone: 202-865-6725
  • Fax: 952-333-9324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: