Provider Demographics
NPI:1235375395
Name:RAPARIA, KIRTEE
Entity Type:Individual
Prefix:
First Name:KIRTEE
Middle Name:
Last Name:RAPARIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KIRTEE
Other - Middle Name:
Other - Last Name:RISHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2500 W PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-6077
Mailing Address - Country:US
Mailing Address - Phone:773-946-6994
Mailing Address - Fax:
Practice Address - Street 1:251 E HURON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2908
Practice Address - Country:US
Practice Address - Phone:773-946-6994
Practice Address - Fax:713-793-1603
Is Sole Proprietor?:No
Enumeration Date:2008-12-19
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1849207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology