Provider Demographics
NPI:1891898698
Name:KANCHWALA, RASHIDA K (MD)
Entity Type:Individual
Prefix:DR
First Name:RASHIDA
Middle Name:K
Last Name:KANCHWALA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1088 W BALTIMORE PIKE
Mailing Address - Street 2:HCC II SUITE #2105
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-5146
Mailing Address - Country:US
Mailing Address - Phone:610-534-6308
Mailing Address - Fax:610-994-3384
Practice Address - Street 1:1088 W BALTIMORE PIKE
Practice Address - Street 2:HCCII SUITE #2105
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-5139
Practice Address - Country:US
Practice Address - Phone:610-534-6308
Practice Address - Fax:610-994-3384
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2011-05-18
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Provider Licenses
StateLicense IDTaxonomies
PAMD029048E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001504772Medicaid
PA001504772Medicaid
PAC34845Medicare UPIN