Healthcare Provider Details

I. General information

NPI: 1245288703
Provider Name (Legal Business Name): THOMAS G RAINEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 11/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 OLD GEORGETOWN RD
BETHESDA MD
20814-1422
US

IV. Provider business mailing address

PO BOX 79166
BALTIMORE MD
21279-0166
US

V. Phone/Fax

Practice location:
  • Phone: 301-896-3100
  • Fax: 301-896-2393
Mailing address:
  • Phone: 800-655-2656
  • Fax: 412-822-7411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberD0022986
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: