Healthcare Provider Details

I. General information

NPI: 1598512956
Provider Name (Legal Business Name): RUBINA OGNO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2024
Last Update Date: 05/03/2024
Certification Date: 05/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7411 RIGGS RD STE 324
HYATTSVILLE MD
20783-4226
US

IV. Provider business mailing address

4801 CONNECTICUT AVE NW APT 608
WASHINGTON DC
20008-2205
US

V. Phone/Fax

Practice location:
  • Phone: 301-755-0000
  • Fax:
Mailing address:
  • Phone: 315-416-0221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU03096
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: