Individual
JITHENDRA RAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2620 SIGSBEE STREET, ERIE, PA 16508
(814) 454-4599
(814) 454-4503
Mailing address
6133 VOLKMAN ROAD, ERIE, PA 16506
(814) 454-4599
(814) 454-4503
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
MD070947L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018351850002
—
PA
01
—
RA423213
HIGHMARK SHIELD
PA
Enumeration date
08/16/2006
Last updated
07/08/2007
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