Doctor Name: | RACHNA SHANKAR |
NPI Number: | 1801237359 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSED |
License Number: | 494694041 |
Business Practice Address: | 32 Cohoes Rd Watervliet, NY - 121891811 |
Business Phone Number: | 5187825404 |
Business Fax Number: | |
Mailing Address: | 623 New Loudon Rd, LATHAM |
State: | NY |
Postal Code: | 121104031 |
Phone Number: | 5187821178 |
Fax Number: | 5187823433 |
NPI Enumeration Date: | 07/12/2013 |
NPI Last Update Date: | 12/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 494694041 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |