Provider Demographics
NPI:1962379966
Name:RUHIRI, PETER
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:
Last Name:RUHIRI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 GUNFALLS GARTH
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4849
Mailing Address - Country:US
Mailing Address - Phone:336-491-4041
Mailing Address - Fax:
Practice Address - Street 1:38 GUNFALLS GARTH
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-4849
Practice Address - Country:US
Practice Address - Phone:336-491-4041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-22
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician