Individual
PAWAN RASTOGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
774 CHRISTIANA ROAD, SUITE 202, NEWARK, DE 19713
(302) 366-7671
(302) 366-7549
Mailing address
774 CHRISTIANA ROAD, SUITE 202, NEWARK, DE 19713
(302) 366-7671
(302) 366-7549
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
C1-0006294
DE
207T00000X
Neurological Surgery Physician
C10006294
DE
207T00000X
Neurological Surgery Physician
D0057496
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001164901
—
DE
01
—
P00066875
RAILROAD MEDICARE PIN
DE
Enumeration date
09/21/2006
Last updated
07/13/2010
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