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NPI Code Detail

MEDICARE: RABIATU BUNDU FNP-C

MEDICARE: RABIATU BUNDU FNP-C
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
1363LF0000XFamily Nurse PractitionerR221986MD

General Provider Information

NPI Number : 1629683503
Entity Type Code : Individual
Provider Name (Legal Business Name) : RABIATU BUNDU FNP-C
Provider Business Mailing Address
First Line : 2504 DIDCOT CT
Second Line :
City : MITCHELLVILLE
State : MD
Zip : 20721-2978
Country : US
Telephone Number : 240-413-2784
Fax Number :
Provider Business Practice Location Address
First Line : 5801 ALLENTOWN RD STE 400
Second Line :
City : CAMP SPRINGS
State : MD
Zip : 20746-4585
Country : US
Telephone Number : 301-868-0150
Fax Number : 301-868-0243
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2020
Last Update Date : 05/13/2021

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Directions to “ RABIATU BUNDU FNP-C” Practice Location

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