Individual
DR. SHARIK KABIR RATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8791 CONFERENCE DR, SUITE 1, FORT MYERS, FL 33919-5822
(239) 938-3506
Mailing address
8791 CONFERENCE DR, SUITE 1, FORT MYERS, FL 33919-5822
(239) 938-3506
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME92442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0410331
GHI
FL
05
—
277009100
—
FL
01
—
92054
BCBS OF FLORIDA
FL
01
—
P00622424
RR MEDICARE
FL
01
—
P00652435
RR MEDICARE
FL
Enumeration date
10/25/2006
Last updated
04/09/2014
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