Provider Demographics
NPI:1629061155
Name:RAMBHIA, HITENDRA M (MD)
Entity Type:Individual
Prefix:MR
First Name:HITENDRA
Middle Name:M
Last Name:RAMBHIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:425 N BROADWAY UNIT 285
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-5014
Mailing Address - Country:US
Mailing Address - Phone:718-377-7629
Mailing Address - Fax:718-677-1127
Practice Address - Street 1:1915 OCEAN AVE FL 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6801
Practice Address - Country:US
Practice Address - Phone:718-377-7629
Practice Address - Fax:718-677-1127
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2019-10-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1934221207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01441258Medicaid
NYP1974068OtherOXFORD
NY830006720OtherRR MEDICARE
F71663Medicare UPIN