NICOLE B. RUH MD/MBA – NPI #1063049815
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

NICOLE RUH is a physician located in PEARL HARBOR, HI. NPPES has assigned the NPI number 1063049815 to NICOLE RUH on March 23, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Aug 28, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICOLE RUH below.

NPI Profile for
NICOLE B. RUH

NPI Number
1063049815
Enumeration Date

(more than 6 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
NICOLE B. RUH
Credentials
MD/MBA
Primary location
MOBILE DIVE AND SALVAGE UNIT ONE MEDICAL DEPARTMENT
BLDG 17 BISHOP POINT
PEARL HARBOR, HI 96860
Phone: (716) 955-0476 Fax:
1 Other location(s):
4494 North Palmer Road
Bethesda, MD 20889-0001
Phone: (301) 295-9283
Fax: (301) 295-5928
Mailing address
4494 NORTH PALMER ROAD
BETHESDA, MD 20889-0001
Phone: (301) 295-9283 Fax: (301) 295-5928
Sole Proprietor
No
Updated
Certification Date
Aug 26, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
VA 0101274671
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.