1841284213 NPI number — DR. AMJAD MIAN RASUL M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841284213 NPI number — DR. AMJAD MIAN RASUL M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

RASUL

Provider First Name:

AMJAD

Provider Middle Name:

MIAN

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1841284213

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

05/10/2010

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

17770 CHIPPING CT

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

OLNEY

Provider Business Mailing Address State Name:

MD

Provider Business Mailing Address Postal Code:

20832-1626

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

301-570-7813

Provider Business Mailing Address Fax Number:

202-526-6025

Provider First Line Business Practice Location Address:

1160 VARNUM ST., N.E.

Provider Second Line Business Practice Location Address:

#114

Provider Business Practice Location Address City Name:

WASHINGTON

Provider Business Practice Location Address State Name:

DC

Provider Business Practice Location Address Postal Code:

20017-2110

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

202-526-8966

Provider Business Practice Location Address Fax Number:

202-526-6025

Provider Enumeration Date:

08/31/2005

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207RC0000X , with the licence number:  D0025802 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207RC0000X , with the licence number: MD12149 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 024635600 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".
• Identifier: 25272 . This is a "MAMSI" identifier . This identifiers is of the category "OTHER".
• Identifier: 357561600 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
• Identifier: 146992001 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 471514 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
• Identifier: 3082912 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
• Identifier: 521467413 . This is a "MULTIPLAN" identifier . This identifiers is of the category "OTHER".
• Identifier: 9476 . This is a "BCBS" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
• Identifier: 110125682 . This is a "MEDICARE RR" identifier . This identifiers is of the category "OTHER".
• Identifier: 1863236 . This is a "FIRST HEALTH PPO" identifier . This identifiers is of the category "OTHER".
• Identifier: 495350 . This is a "NCPPO" identifier . This identifiers is of the category "OTHER".
• Identifier: 4088591 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
• Identifier: 41964107 . This is a "BCBS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".