Provider Demographics
NPI:1003906488
Name:KAZMI, RUMANA (MD)
Entity Type:Individual
Prefix:DR
First Name:RUMANA
Middle Name:
Last Name:KAZMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 IRVING ST NW
Mailing Address - Street 2:306
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2970
Mailing Address - Country:US
Mailing Address - Phone:202-291-2900
Mailing Address - Fax:202-829-7699
Practice Address - Street 1:106 IRVING ST NW
Practice Address - Street 2:306
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2927
Practice Address - Country:US
Practice Address - Phone:202-291-2900
Practice Address - Fax:202-829-7699
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC10673208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0101308000Medicaid