Provider Demographics
NPI:1255440962
Name:PALATHINGAL, RINI (MD)
Entity type:Individual
Prefix:MRS
First Name:RINI
Middle Name:
Last Name:PALATHINGAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RINI
Other - Middle Name:
Other - Last Name:PALATHINGAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:210 PALISADE AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306
Mailing Address - Country:US
Mailing Address - Phone:201-963-2213
Mailing Address - Fax:201-963-7070
Practice Address - Street 1:210 PALISADE AVE
Practice Address - Street 2:
Practice Address - City:JERSEY
Practice Address - State:NJ
Practice Address - Zip Code:07306
Practice Address - Country:US
Practice Address - Phone:201-963-2213
Practice Address - Fax:201-963-7070
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA071128207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
042562Medicare ID - Type Unspecified
25320Medicare UPIN