Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35086749 | OH |
Y | 111NI0900X | Internist | 35086749 | OH |
N | 207SG0201X | Clinical Genetics (M.D.) | 35086749 | OH |
NPI | 1295782100 |
---|---|
Provider Name | Amit Rastogi |
First Address | Concord, NH 03301-7560 |
Second Address | Concord, NH 03301-7560 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 26/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2650644 | (05) | OH |
3074811 | (05) | NH |
I52522 | (02) | |
P00325179 | RAILROAD MEDICARE (01) | OH |