Provider Demographics
NPI:1053511741
Name:RASTOGI AND RASTOGI PSC
Entity Type:Organization
Organization Name:RASTOGI AND RASTOGI PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:INDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RASTOGI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-878-7395
Mailing Address - Street 1:564 COUNTRY CLUB EST
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40744-8244
Mailing Address - Country:US
Mailing Address - Phone:606-878-7395
Mailing Address - Fax:606-878-7395
Practice Address - Street 1:564 COUNTRY CLUB EST
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40744-8244
Practice Address - Country:US
Practice Address - Phone:606-878-7395
Practice Address - Fax:606-878-7395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty