Provider Demographics
NPI:1083695977
Name:MCDONALD, RUTH ISABEL (MD PHD FAAP)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:ISABEL
Last Name:MCDONALD
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Gender:F
Credentials:MD PHD FAAP
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Mailing Address - Street 1:44081 PIPELINE PLZ
Mailing Address - Street 2:UNIT 125
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5891
Mailing Address - Country:US
Mailing Address - Phone:517-223-2229
Mailing Address - Fax:571-223-3299
Practice Address - Street 1:44081 PIPELINE PLAZA
Practice Address - Street 2:UNIT 125
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147
Practice Address - Country:US
Practice Address - Phone:517-223-2229
Practice Address - Fax:571-223-3299
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2008-05-20
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Provider Licenses
StateLicense IDTaxonomies
VA0101034278208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
R83325Medicare UPIN