Provider Demographics
NPI:1851686422
Name:HIRALDO, RAHE NINUSHKA (MD)
Entity type:Individual
Prefix:
First Name:RAHE
Middle Name:NINUSHKA
Last Name:HIRALDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RAHE
Other - Middle Name:NINUSHKA
Other - Last Name:HIRALDO-DELGADO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:8901 WISCONSIN AVE
Mailing Address - Street 2:BLDG 19, 6TH FLOOR, NEUROLOGY CLINIC
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889
Mailing Address - Country:US
Mailing Address - Phone:301-295-4771
Mailing Address - Fax:301-295-4759
Practice Address - Street 1:8901 ROCKVILLE PIKE NEUROLOGY DEPT
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-4771
Practice Address - Fax:301-295-4759
Is Sole Proprietor?:No
Enumeration Date:2011-06-12
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012533722084N0402X, 2084N0402X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCFH5229005OtherDEA