Healthcare Provider Details

I. General information

NPI: 1437337037
Provider Name (Legal Business Name): RAMONA RAYA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RAMONA GOYAL MD

II. Dates (important events)

Enumeration Date: 02/06/2008
Last Update Date: 02/01/2021
Certification Date: 02/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8501 ARLINGTON BLVD STE 340
FAIRFAX VA
22031-4625
US

IV. Provider business mailing address

8501 ARLINGTON BLVD STE 340
FAIRFAX VA
22031-4625
US

V. Phone/Fax

Practice location:
  • Phone: 703-259-9050
  • Fax: 703-259-9040
Mailing address:
  • Phone: 703-259-9050
  • Fax: 703-259-9040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number51624
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number0101250974
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: