Provider Demographics
NPI:1750680294
Name:RUBIN, RACHEL S (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:S
Last Name:RUBIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4416 E WEST HWY STE 410
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4568
Mailing Address - Country:US
Mailing Address - Phone:202-888-6731
Mailing Address - Fax:202-851-5739
Practice Address - Street 1:4416 E WEST HWY STE 410
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4568
Practice Address - Country:US
Practice Address - Phone:202-888-6731
Practice Address - Fax:202-851-5739
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-23
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD045161208800000X
MDD0083413208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty