Provider Demographics
NPI:1922201599
Name:NAVATHE, RESHAMA SARALKAR (MD)
Entity Type:Individual
Prefix:DR
First Name:RESHAMA
Middle Name:SARALKAR
Last Name:NAVATHE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RESHAMA
Other - Middle Name:
Other - Last Name:SARALKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:101 E OLNEY AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-2470
Mailing Address - Country:US
Mailing Address - Phone:215-456-1825
Mailing Address - Fax:215-456-5926
Practice Address - Street 1:609 W GERMANTOWN PIKE STE 260
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19403-4243
Practice Address - Country:US
Practice Address - Phone:484-622-7820
Practice Address - Fax:484-622-7830
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA248839207V00000X
PAMD451580207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1030189050011Medicaid