Provider Demographics
NPI:1255693867
Name:GOMEZ, SYEDA RABIA (DO)
Entity Type:Individual
Prefix:DR
First Name:SYEDA
Middle Name:RABIA
Last Name:GOMEZ
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:8110 MAPLE LAWN BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2694
Mailing Address - Country:US
Mailing Address - Phone:301-340-8339
Mailing Address - Fax:301-340-9027
Practice Address - Street 1:9715 MEDICAL CENTER DR STE 415
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6312
Practice Address - Country:US
Practice Address - Phone:301-424-1696
Practice Address - Fax:301-424-7135
Is Sole Proprietor?:No
Enumeration Date:2012-06-10
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS018380207V00000X
NJ25MB10133400207V00000X
PAOT014893390200000X
MDH0092807207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program