Provider Demographics
NPI:1063830651
Name:DAVE, RINA (MPH)
Entity Type:Individual
Prefix:
First Name:RINA
Middle Name:
Last Name:DAVE
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 W. TAYLOR STREET M/C 663
Mailing Address - Street 2:663
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612
Mailing Address - Country:US
Mailing Address - Phone:312-355-1706
Mailing Address - Fax:
Practice Address - Street 1:1111 25TH ST NW
Practice Address - Street 2:APT 501
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1446
Practice Address - Country:US
Practice Address - Phone:240-446-2040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-01
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program