Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | D81986 | MD |
N | 207V00000X | Obstetrician & Gynecologist | MD039491 | DC |
N | 207V00000X | Obstetrician & Gynecologist | MT190103 | PA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | D81986 | MD |
NPI | 1568622835 |
---|---|
Provider Name | Donna B Raval |
First Address | Takoma Park, MD 20912-6384 |
Second Address | Takoma Park, MD 20912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 01/08/2016 |