Provider Demographics
NPI:1558049551
Name:RATHOD, ARYANKA K (MD)
Entity Type:Individual
Prefix:
First Name:ARYANKA
Middle Name:K
Last Name:RATHOD
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 1:5375 N 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-8725
Mailing Address - Country:US
Mailing Address - Phone:850-941-7841
Mailing Address - Fax:850-332-0155
Practice Address - Street 1:5375 N 9TH AVE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8725
Practice Address - Country:US
Practice Address - Phone:850-941-7841
Practice Address - Fax:850-332-0155
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN38697390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program