Healthcare Provider Details

I. General information

NPI: 1457537268
Provider Name (Legal Business Name): RUBINA ALVI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2008
Last Update Date: 07/05/2023
Certification Date: 07/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6020 MEADOWRIDGE CENTER DR STE U
ELKRIDGE MD
21075-7275
US

IV. Provider business mailing address

6020 MEADOWRIDGE CENTER DR STE U
ELKRIDGE MD
21075-7275
US

V. Phone/Fax

Practice location:
  • Phone: 410-443-0490
  • Fax: 410-941-4844
Mailing address:
  • Phone: 410-443-0490
  • Fax: 410-941-4844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0073322
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: