Provider Demographics
NPI:1396885273
Name:KATHIRITHAMBY, DONA RANI C (MD)
Entity type:Individual
Prefix:
First Name:DONA RANI
Middle Name:C
Last Name:KATHIRITHAMBY
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 1:15 GARDEN RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2105
Mailing Address - Country:US
Mailing Address - Phone:718-430-8509
Mailing Address - Fax:718-892-2296
Practice Address - Street 1:CERC - ROSE F. KENNEDY CENTER
Practice Address - Street 2:1410 PELHAM PARKWAY SOUTH
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-430-8509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY133429208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation