Individual
DR. RITA A. BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8926 WOODYARD RD, SUITE 301, CLINTON, MD 20735-4220
(301) 856-3670
(301) 868-0129
Mailing address
2722 MERRILEE DR STE 230, FAIRFAX, VA 22031-4416
(703) 698-4483
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101034430
VA
174400000X
Specialist
D27202
MD
2085R0202X
Diagnostic Radiology Physician
Primary
0101034430
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010292395
—
VA
05
—
010292417
—
VA
05
—
010331048
—
VA
05
—
761600700
—
MD
Enumeration date
01/19/2006
Last updated
04/27/2021
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