Individual
DR. TINA RAKKHIT NANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1407 YORK RD STE 100A, LUTHERVILLE, MD 21093-6077
(410) 252-9090
Mailing address
1407 YORK RD STE 100A, LUTHERVILLE, MD 21093-6077
(410) 252-9090
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
247216
MA
207N00000X
Dermatology Physician
Primary
D88261
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000936349
ANTHEM BLUE CROSS & BLUE SHIELD
—
05
—
110090327A
—
MA
Enumeration date
01/28/2008
Last updated
11/12/2025
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