Provider Demographics
NPI:1518544246
Name:DEMMINGS, RAHNI DEVON (SFA)
Entity Type:Individual
Prefix:
First Name:RAHNI
Middle Name:DEVON
Last Name:DEMMINGS
Suffix:
Gender:M
Credentials:SFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13665 LEGACY CIRCLE
Mailing Address - Street 2:S
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171
Mailing Address - Country:US
Mailing Address - Phone:304-620-2102
Mailing Address - Fax:
Practice Address - Street 1:20680 SENECA MEADOWS PKWY
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-7027
Practice Address - Country:US
Practice Address - Phone:304-620-2102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-27
Last Update Date:2021-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant