Individual
BHARTI RATHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2077
(401) 456-5765
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2077
(401) 456-5765
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD11624
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31391-5
BLUE CROSS OF RHODE ISLAN
RI
01
—
413388
BLUE CHIP OF RHODE ISLAND
RI
Enumeration date
05/22/2006
Last updated
07/08/2007
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