Provider Demographics
NPI:1144405523
Name:MISHORI, RANIT (MD, MHS)
Entity Type:Individual
Prefix:DR
First Name:RANIT
Middle Name:
Last Name:MISHORI
Suffix:
Gender:F
Credentials:MD, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2729 DUMBARTON ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-3322
Mailing Address - Country:US
Mailing Address - Phone:202-342-0227
Mailing Address - Fax:
Practice Address - Street 1:3750 RESERVOIR RD NW
Practice Address - Street 2:DEPARTMENT OF FAMILIY MEDICINE, 2ND FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2111
Practice Address - Country:US
Practice Address - Phone:202-687-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD036947207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC126784YTFMedicare PIN