Healthcare Provider Details

I. General information

NPI: 1346234879
Provider Name (Legal Business Name): DONNA L RINIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 10/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

IM CLINIC WRNMMCB 8901 WISCONSIN AVENUE
BETHESDA MD
20889-5600
US

IV. Provider business mailing address

IM CLINIC WRNMMCB 8901 WISCONSIN AVENUE
BETHESDA MD
20889-5600
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-0196
  • Fax: 301-400-1330
Mailing address:
  • Phone: 301-295-0196
  • Fax: 301-319-4712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD28135
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: