Provider Demographics
NPI:1306018502
Name:RATHOD, MAHIPAL SINGH (PHARMD, RPH, BCNP)
Entity Type:Individual
Prefix:DR
First Name:MAHIPAL
Middle Name:SINGH
Last Name:RATHOD
Suffix:
Gender:M
Credentials:PHARMD, RPH, BCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 FAIRCHILD AVE STE 100
Mailing Address - Street 2:CARDINAL HEALTH
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803
Mailing Address - Country:US
Mailing Address - Phone:516-349-8001
Mailing Address - Fax:
Practice Address - Street 1:25 FAIRCHILD AVE STE 100
Practice Address - Street 2:CARDINAL HEALTH
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803
Practice Address - Country:US
Practice Address - Phone:516-349-8001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050862183500000X, 1835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N0905XPharmacy Service ProvidersPharmacistNuclear
No183500000XPharmacy Service ProvidersPharmacist