Healthcare Provider Details

I. General information

NPI: 1427404904
Provider Name (Legal Business Name): RITA KAUR KUWAHARA MD, MIH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2016
Last Update Date: 11/15/2021
Certification Date: 11/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WOODRUFF CIRCLE SUITE 327
ATLANTA GA
30322
US

IV. Provider business mailing address

3800 RESERVOIR RD NW
WASHINGTON DC
20007-2113
US

V. Phone/Fax

Practice location:
  • Phone: 404-727-5658
  • Fax:
Mailing address:
  • Phone: 202-444-3700
  • Fax: 877-346-1469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD210001433
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: