Provider Demographics
NPI:1043576838
Name:JHAMNANI, REKHA DEVDAS
Entity Type:Individual
Prefix:
First Name:REKHA
Middle Name:DEVDAS
Last Name:JHAMNANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CENTER DR
Mailing Address - Street 2:ROOM 12C120 MSC 1899
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-402-2162
Mailing Address - Fax:301-496-0773
Practice Address - Street 1:10 CENTER DR
Practice Address - Street 2:ROOM 12C120 MSC 1899
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-402-2162
Practice Address - Fax:301-496-0773
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-05
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program