Healthcare Provider Details

I. General information

NPI: 1043282999
Provider Name (Legal Business Name): RUPA J. DAINER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2006
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6707 GOLDSBORO RD
BETHESDA MD
20817-5417
US

IV. Provider business mailing address

6707 GOLDSBORO RD
BETHESDA MD
20817-5417
US

V. Phone/Fax

Practice location:
  • Phone: 301-437-0818
  • Fax: 301-941-3411
Mailing address:
  • Phone: 301-437-0818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD0060556
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number0101258381
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: