Individual
DR. BEVERLI FONTAINE-RASAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5550 FRIENDSHIP BLVD STE 360, CHEVY CHASE, MD 20815-7256
(240) 341-1290
Mailing address
8300 GREENSBORO DR STE L1-121, MC LEAN, VA 22102-3605
(702) 223-4072
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0085002
MD
Other
Enumeration date
05/16/2018
Last updated
12/30/2019
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