Rathnam, Punitha Ida

Rathnam, Punitha Ida is an individual health care provider with primary practice located at 550 W New Hope Rd Apt A6, Goldsboro NC 27534-7560. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Rathnam, Punitha Ida can be contacted via phone (252) 686-8091.

Contact Information

Primary practice address
550 W New Hope Rd Apt A6 Goldsboro NC 27534-7560
Phone: (252) 686-8091
Fax: (252) 686-8092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2010-01045 North Carolina

Profile Details

NPI number 1558564005
LBN Legal business name Rathnam, Punitha Ida
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Nov 16th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558564005 NPPES
North Carolina Other 160KF BCBSNC
North Carolina MEDICAID 5914830 BCBSNC

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