Provider Demographics
NPI:1457537268
Name:ALVI, RUBINA (MD)
Entity type:Individual
Prefix:DR
First Name:RUBINA
Middle Name:
Last Name:ALVI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6020 MEADOWRIDGE CENTER DR STE U
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-7275
Mailing Address - Country:US
Mailing Address - Phone:410-443-0490
Mailing Address - Fax:410-941-4844
Practice Address - Street 1:6020 MEADOWRIDGE CENTER DR STE U
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-7275
Practice Address - Country:US
Practice Address - Phone:410-443-0490
Practice Address - Fax:410-941-4844
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-11
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0073322207Q00000X, 207Q00000X
NJ25MA08485700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD244075YVZ - 945LMedicare PIN
NJ166063Medicare PIN
MD244072ZDDB - 149619Medicare PIN