Healthcare Provider Details

I. General information

NPI: 1609795590
Provider Name (Legal Business Name): RUBRIC MEDICAL PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 SEVEN LOCKS RD STE 360
ROCKVILLE MD
20854-6901
US

IV. Provider business mailing address

2093 PHILADELPHIA PIKE # 3245
CLAYMONT DE
19703-2424
US

V. Phone/Fax

Practice location:
  • Phone: 623-300-1770
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHIRAG CHAUDHARI
Title or Position: PRESIDENT
Credential: MD
Phone: 623-300-1770