Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0300X | Geriatric Medicine | MD448145 | PA |
Y | 207RR0500X | Rheumatology | MD448145 | PA |
NPI | 1093083552 |
---|---|
Provider Name | Shikha Rathi |
First Address | Philadelphia, PA 19152-3303 |
Second Address | Philadelphia, PA 19152-3303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2011 |
Last Update Date | 27/09/2017 |