Provider Demographics
NPI:1912755349
Name:RANIVONDRAHONA, CHRISTIANA NOROVOAHANGY
Entity Type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:NOROVOAHANGY
Last Name:RANIVONDRAHONA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18945 SNOW FIELDS CIR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-1918
Mailing Address - Country:US
Mailing Address - Phone:202-489-2277
Mailing Address - Fax:
Practice Address - Street 1:966 HUNGERFORD DR STE 21A
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-1741
Practice Address - Country:US
Practice Address - Phone:202-489-2277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM066172081N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular Medicine