Healthcare Provider Details

I. General information

NPI: 1114506862
Provider Name (Legal Business Name): RUMBIDZAI SARAH KAPFUMVUTI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2021
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 CONNECTICUT AVE PH STE
CHEVY CHASE MD
20815-5822
US

IV. Provider business mailing address

8401 CONNECTICUT AVE PH STE
CHEVY CHASE MD
20815-5822
US

V. Phone/Fax

Practice location:
  • Phone: 888-663-6331
  • Fax: 415-252-7176
Mailing address:
  • Phone: 888-663-6331
  • Fax: 415-252-7176

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 NumberH0101171
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: