Provider Demographics
NPI:1386197259
Name:YOHANIS, RAHEL (DR)
Entity Type:Individual
Prefix:
First Name:RAHEL
Middle Name:
Last Name:YOHANIS
Suffix:
Gender:F
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12503 VILLAGE SQUARE TER APT 402
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1956
Mailing Address - Country:US
Mailing Address - Phone:240-838-9556
Mailing Address - Fax:
Practice Address - Street 1:12503 VILLAGE SQUARE TER APT 402
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1956
Practice Address - Country:US
Practice Address - Phone:240-838-9556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202214724183500000X
MD24128183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist