Individual
SIDDARTH RATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
148 13TH ST SW, LARGO, FL 33770
(727) 581-8706
(727) 588-2447
Mailing address
148 13TH ST SW, LARGO, FL 33770-3127
(727) 581-8706
(727) 588-2447
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME126967
FL
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
277734
NY
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
ME126967
FL
Other
Enumeration date
04/24/2012
Last updated
09/16/2019
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