Provider Demographics
NPI:1184609976
Name:RUBIN, IRIS KEDAR (MD)
Entity type:Individual
Prefix:DR
First Name:IRIS
Middle Name:KEDAR
Last Name:RUBIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6410 ROCKLEDGE DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1809
Mailing Address - Country:US
Mailing Address - Phone:301-530-8300
Mailing Address - Fax:301-530-8300
Practice Address - Street 1:6410 ROCKLEDGE DR
Practice Address - Street 2:SUITE 201
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1809
Practice Address - Country:US
Practice Address - Phone:301-530-8300
Practice Address - Fax:301-530-8300
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2009-02-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA215253207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD567739Medicare PIN