Healthcare Provider Details

I. General information

NPI: 1851686422
Provider Name (Legal Business Name): RAHE NINUSHKA HIRALDO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RAHE NINUSHKA HIRALDO-DELGADO M.D.

II. Dates (important events)

Enumeration Date: 06/12/2011
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 ROCKVILLE PIKE NEUROLOGY DEPT
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

8901 WISCONSIN AVE BLDG 19, 6TH FLOOR, NEUROLOGY CLINIC
BETHESDA MD
20889
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-4771
  • Fax: 301-295-4759
Mailing address:
  • Phone: 301-295-4771
  • Fax: 301-295-4759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number0101253372
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: