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Individual

DWARKA RATHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1561 TRYON RD NE, BROOKHAVEN, GA 30319-2940
(914) 643-3879
Mailing address
1561 TRYON RD NE, BROOKHAVEN, GA 30319-2940
(146) 433-8799

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
205041-1
NY
207RN0300X
Nephrology Physician
Primary
86856
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01577820
NY
Enumeration date
08/05/2006
Last updated
01/12/2024
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