Healthcare Provider Details
I. General information
NPI: 1992510754
Provider Name (Legal Business Name): RIMZHIM HIMANSHU KASHIKAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/10/2025
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
34800 BOB WILSON DR
SAN DIEGO CA
92134-1098
US
IV. Provider business mailing address
521 ARBOR DR UNIT 105
SAN DIEGO CA
92103-7434
US
V. Phone/Fax
- Phone: 619-532-6400
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | 0101290602 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171000000X |
| Taxonomy | Military Health Care Provider |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: