MEDICARE: NIERMALA RATTAN-WASHINGTON,M.D.,P.A.

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	207Q00000X	Family Medicine Physician	ME90568	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225209919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NIERMALA RATTAN-WASHINGTON,M.D.,P.A.

Provider Business Mailing Address
First Line	:	2137 SEA PINES WAY
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-7738
Country	:	US
Telephone Number	:	954-288-4481
Fax Number	:	954-783-0622

Provider Business Practice Location Address
First Line	:	3511 NW 8TH AVE
Second Line	:	SUITE 2
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-3055
Country	:	US
Telephone Number	:	954-783-0621
Fax Number	:	954-255-5607

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NIERMALA WASHINGTON
Credential	:	M.D.
Telephone Number	:	954-288-4481

Provider Enumeration Date	:	03/20/2008
Last Update Date	:	02/07/2025

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