Provider Demographics
NPI:1235109208
Name:MARFATIA, USHA SUDHIR (MD)
Entity Type:Individual
Prefix:DR
First Name:USHA
Middle Name:SUDHIR
Last Name:MARFATIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 NEWTOWN RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-5275
Mailing Address - Country:US
Mailing Address - Phone:215-441-6896
Mailing Address - Fax:215-441-7414
Practice Address - Street 1:205 NEWTOWN RD
Practice Address - Street 2:SUITE 204
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-5275
Practice Address - Country:US
Practice Address - Phone:215-441-6896
Practice Address - Fax:215-441-7414
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD035001-L207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA32009CMedicaid
063508Medicare ID - Type Unspecified
B34668Medicare UPIN