Provider Demographics
NPI:1508652413
Name:CHANNAWI, RITA (MB BCH BAO)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:CHANNAWI
Suffix:
Gender:
Credentials:MB BCH BAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:THE ADDRESS SKYVIEW TOWER 1
Mailing Address - Street 2:APARTMENT 2902
Mailing Address - City:DUBAI
Mailing Address - State:UNITED ARAB EMIRATES
Mailing Address - Zip Code:111969
Mailing Address - Country:AE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5 PERRYRIDGE RD
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-4608
Practice Address - Country:US
Practice Address - Phone:203-863-3409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program