Provider Demographics
NPI:1619911997
Name:RATHI, SEEMA (MD)
Entity Type:Individual
Prefix:
First Name:SEEMA
Middle Name:
Last Name:RATHI
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 1:4 SUNRISE LN
Mailing Address - Street 2:
Mailing Address - City:SACRSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3143
Mailing Address - Country:US
Mailing Address - Phone:914-536-2020
Mailing Address - Fax:914-610-4245
Practice Address - Street 1:984 N BROADWAY
Practice Address - Street 2:SUITE 314
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1318
Practice Address - Country:US
Practice Address - Phone:914-709-0659
Practice Address - Fax:914-610-4245
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204631207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01749559Medicaid
NYG49320Medicare UPIN
NY4T2022Medicare PIN