Provider Demographics
NPI:1639514995
Name:KANTHULA, RUTH M (MD, MPH)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:M
Last Name:KANTHULA
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Gender:F
Credentials:MD, MPH
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Other - First Name:
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Mailing Address - Street 1:4200 WISCONSIN AVE NW STE 200
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2101
Mailing Address - Country:US
Mailing Address - Phone:202-243-3492
Mailing Address - Fax:202-243-3434
Practice Address - Street 1:4200 WISCONSIN AVE NW STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2101
Practice Address - Country:US
Practice Address - Phone:202-243-3492
Practice Address - Fax:202-243-3434
Is Sole Proprietor?:No
Enumeration Date:2013-05-01
Last Update Date:2024-02-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCMD0451362080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases