Individual
RITA JHAVERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22590 SHADY CT, CALIFORNIA, MD 20619-5009
(301) 373-7900
(301) 373-6900
Mailing address
22590 SHADY CT, CALIFORNIA, MD 20619-5009
(301) 373-7900
(301) 373-6900
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D0032651
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110205825
MEDICARE RAILROAD
MD
05
—
465641500
—
MD
Enumeration date
07/11/2006
Last updated
12/13/2021
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