Organization
NY RENAL CARE PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWARKA P RATHI MD (PRESIDENT)
(914) 643-3879
Entity
Organization
Contact information
Practice address
242 BULLSBORO DR, NEWNAN, GA 30263-1295
(914) 643-3879
(844) 330-1541
Mailing address
1561 TRYON RD NE, BROOKHAVEN, GA 30319-2940
(914) 643-3879
(917) 525-2655
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
205041
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03316896
—
NY
Enumeration date
12/27/2010
Last updated
09/29/2023
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