Provider Demographics
NPI:1326468703
Name:MINASSIAN, RAIA (MD)
Entity Type:Individual
Prefix:
First Name:RAIA
Middle Name:
Last Name:MINASSIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5413 W CEDAR LN
Mailing Address - Street 2:STE 202C
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-1527
Mailing Address - Country:US
Mailing Address - Phone:301-654-4948
Mailing Address - Fax:301-654-0770
Practice Address - Street 1:5413 W CEDAR LN
Practice Address - Street 2:STE 202C
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-1527
Practice Address - Country:US
Practice Address - Phone:301-654-4948
Practice Address - Fax:301-654-0770
Is Sole Proprietor?:No
Enumeration Date:2014-04-23
Last Update Date:2020-02-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0088138208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation