Provider Demographics
NPI:1184856882
Name:RITA U. GORADIA, M.D. P.C.
Entity Type:Organization
Organization Name:RITA U. GORADIA, M.D. P.C.
Other - Org Name:HARSHEM FAMILY PRACTICE
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:UMESH
Authorized Official - Middle Name:B
Authorized Official - Last Name:GORADIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-388-3006
Mailing Address - Street 1:1128 BRYANT ST
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-3142
Mailing Address - Country:US
Mailing Address - Phone:732-388-3006
Mailing Address - Fax:732-388-9878
Practice Address - Street 1:1128 BRYANT ST
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-3142
Practice Address - Country:US
Practice Address - Phone:732-388-3006
Practice Address - Fax:732-388-9878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA67142207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty