Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD62745 | MD |
N | 2080N0001X | Neonatal-Perinatal Doctor | 35515 | DC |
NPI | 1033194766 |
---|---|
Provider Name | Dr. Anuja Rastogi |
First Address | Sunrise, FL 33323-2815 |
Second Address | Rockville, MD 20850-3357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2005 |
Last Update Date | 24/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I36610 | (02) |