Provider Demographics
NPI:1093083552
Name:RATHI, SHIKHA (MBBS, MD)
Entity Type:Individual
Prefix:
First Name:SHIKHA
Middle Name:
Last Name:RATHI
Suffix:
Gender:F
Credentials:MBBS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7908 BUSTLETON AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-3303
Mailing Address - Country:US
Mailing Address - Phone:215-725-7401
Mailing Address - Fax:215-725-5827
Practice Address - Street 1:7908 BUSTLETON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-3303
Practice Address - Country:US
Practice Address - Phone:215-725-7401
Practice Address - Fax:215-725-5827
Is Sole Proprietor?:No
Enumeration Date:2011-12-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD448145207RG0300X, 207RR0500X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program