Individual
SHANTANU RASTOGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 904-4105
Mailing address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 904-4105
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
249490
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000969
HIP
NY
01
—
000969-A15
HEALTH FIRST
NY
01
—
0100130-03
AMERICHOICE
NY
05
—
02128949
—
NY
01
—
1000029918
AFFINITY HEALTH
NY
01
—
113542361
HORIZON HEALTHCARE NY
NY
01
—
2050698
UNITED HEALTHCARE
NY
01
—
2603108
GHI
NY
01
—
343640201
HEALTH PLUS
NY
01
—
4C4443
HEALTH NET
NY
01
—
P2171926
OXFORD HEALTH PLAN
NY
01
—
RS0969
ATLANTIS HEALTH
NY
Enumeration date
09/19/2005
Last updated
12/30/2025
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