Provider Demographics
NPI:1477288819
Name:JANKA, RAHA
Entity type:Individual
Prefix:
First Name:RAHA
Middle Name:
Last Name:JANKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 14TH ST SE UNIT B
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-2396
Mailing Address - Country:US
Mailing Address - Phone:202-569-2536
Mailing Address - Fax:
Practice Address - Street 1:251 14TH ST SE UNIT B
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-2396
Practice Address - Country:US
Practice Address - Phone:202-569-2536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty