MEDICARE: DR. RUBINA DOLVANE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MD434867	PA

General Provider Information

NPI Number	:	1144433590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUBINA DOLVANE M.D.

Provider Business Mailing Address
First Line	:	407 N. WASHINGTON STREET
Second Line	:	SUITE 100
City	:	FALLS CHURCH
State	:	VA
Zip	:	22046-3303
Country	:	US
Telephone Number	:	703-237-5919
Fax Number	:	703-241-1863

Provider Business Practice Location Address
First Line	:	407 N. WASHINGTON STREET
Second Line	:	SUITE 100
City	:	FALLS CHURCH
State	:	VA
Zip	:	22046-3303
Country	:	US
Telephone Number	:	703-237-5919
Fax Number	:	703-241-1863

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	07/31/2012

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