Healthcare Provider Details

I. General information

NPI: 1376986760
Provider Name (Legal Business Name): CHRISTINA RAWANA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2013
Last Update Date: 11/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3315 S ALAMEDA ST
CORPUS CHRISTI TX
78411-1820
US

IV. Provider business mailing address

PO BOX 60465
CORPUS CHRISTI TX
78466-0465
US

V. Phone/Fax

Practice location:
  • Phone: 361-884-2904
  • Fax: 361-857-0572
Mailing address:
  • Phone: 631-351-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number284016
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberS1242
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: