Individual
RAFFAT TAHIRA AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1150 VARNUM ST NE, WASHINGTON, DC 20017
(301) 614-0595
Mailing address
1123 STATE ROUTE 3 N # 148, GAMBRILLS, MD 21054-1715
(301) 614-0595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301099078
MI
2085R0202X
Diagnostic Radiology Physician
4301099078
MI
2085R0202X
Diagnostic Radiology Physician
Primary
D0081030
MD
2085R0202X
Diagnostic Radiology Physician
MD045721
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
841113100
—
MD
Enumeration date
07/15/2011
Last updated
12/14/2021
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