Individual
MONISHA RAJINIKANTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
155 BORTHWICK AVE # 200, PORTSMOUTH, NH 03801-7156
(603) 436-1773
Mailing address
155 BORTHWICK AVE STE 200E, PORTSMOUTH, NH 03801-4184
(603) 436-1773
(603) 427-0655
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0945
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3110591
—
NH
Enumeration date
06/24/2017
Last updated
05/11/2020
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