MEDICARE: VLADIMIR M RAKHMANIN MD

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	208M00000X	Hospitalist Physician	D59414	MD

General Provider Information

NPI Number	:	1275524167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VLADIMIR M RAKHMANIN MD

Provider Business Mailing Address
First Line	:	7250 PARKWAY DR
Second Line	:	STE 500
City	:	HANOVER
State	:	MD
Zip	:	21076-1343
Country	:	US
Telephone Number	:	240-672-3052
Fax Number	:

Provider Business Practice Location Address
First Line	:	18101 PRINCE PHILIP DR
Second Line	:
City	:	OLNEY
State	:	MD
Zip	:	20832-1514
Country	:	US
Telephone Number	:	301-774-2512
Fax Number	:	301-774-8947

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

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	10/02/2017

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