Provider Demographics
NPI:1811587363
Name:GATHIBANDHE, RAJNI (MD)
Entity Type:Individual
Prefix:
First Name:RAJNI
Middle Name:
Last Name:GATHIBANDHE
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 1:18 ORCHARD LN
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-1507
Mailing Address - Country:US
Mailing Address - Phone:347-282-9523
Mailing Address - Fax:516-665-7332
Practice Address - Street 1:547 SAW MILL RIVER RD STE LL1
Practice Address - Street 2:
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-2155
Practice Address - Country:US
Practice Address - Phone:347-282-9523
Practice Address - Fax:561-665-7332
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-19
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health