Provider Demographics
NPI:1518521350
Name:BLACHMAN BRAUN, RUBEN (MD, MSC)
Entity type:Individual
Prefix:
First Name:RUBEN
Middle Name:
Last Name:BLACHMAN BRAUN
Suffix:
Gender:M
Credentials:MD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CENTER DRIVE, BUILDING 10
Mailing Address - Street 2:ROOM 1-5940Q
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-1208
Mailing Address - Country:US
Mailing Address - Phone:240-858-3700
Mailing Address - Fax:305-243-4653
Practice Address - Street 1:10 CENTER DRIVE, BUILDING 10
Practice Address - Street 2:ROOM 1-5940Q
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-1208
Practice Address - Country:US
Practice Address - Phone:240-858-3700
Practice Address - Fax:305-243-4653
Is Sole Proprietor?:No
Enumeration Date:2019-04-26
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program