Provider Demographics
NPI:1790890895
Name:RUDZKI, JONAS RONAN (MD)
Entity type:Individual
Prefix:DR
First Name:JONAS
Middle Name:RONAN
Last Name:RUDZKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DISTRICT ORTHOPAEDICS, PC
Mailing Address - Street 2:5454 WISCONSIN AVENUE, 1000
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6949
Mailing Address - Country:US
Mailing Address - Phone:301-882-2000
Mailing Address - Fax:240-858-4291
Practice Address - Street 1:DISTRICT ORTHOPAEDICS, PC
Practice Address - Street 2:5454 WISCONSIN AVENUE, 1000
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6949
Practice Address - Country:US
Practice Address - Phone:301-882-2000
Practice Address - Fax:240-858-4291
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC035982207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC035982OtherPROFESSIONAL LICENSE
DCBR9563265OtherFEDERAL DEA REGISTRATION