Provider Demographics
NPI:1801915483
Name:SOBTI, RIMMI (MD)
Entity type:Individual
Prefix:
First Name:RIMMI
Middle Name:
Last Name:SOBTI
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 1:511 LAKEHURST RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-8020
Mailing Address - Country:US
Mailing Address - Phone:732-797-0007
Mailing Address - Fax:732-797-0063
Practice Address - Street 1:511 LAKEHURST RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-8020
Practice Address - Country:US
Practice Address - Phone:732-797-0007
Practice Address - Fax:732-797-0063
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA068592207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2K1501OtherHEALTHNET
NJ2131928OtherUNITED HEALTH CARE
NJ6233759-001OtherCIGNA
NJ8466807Medicaid
NJ6233759-003OtherCIGNA
NJP1286166OtherOXFORD
NJ204617OtherUSFHP
NJ2203173 & 7160014OtherAETNA
NJ2K1501OtherHEALTHNET
NJ6233759-001OtherCIGNA