Provider Demographics
NPI:1134743016
Name:RATHOD, HARSHA
Entity type:Individual
Prefix:
First Name:HARSHA
Middle Name:
Last Name:RATHOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 760
Mailing Address - Street 2:
Mailing Address - City:CARUTHERS
Mailing Address - State:CA
Mailing Address - Zip Code:93609-0760
Mailing Address - Country:US
Mailing Address - Phone:559-374-9925
Mailing Address - Fax:844-379-4390
Practice Address - Street 1:5876 W FLORAL AVE
Practice Address - Street 2:
Practice Address - City:CARUTHERS
Practice Address - State:CA
Practice Address - Zip Code:93609-9424
Practice Address - Country:US
Practice Address - Phone:559-374-9925
Practice Address - Fax:844-379-4390
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-05
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA9951990343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)