Healthcare Provider Details

I. General information

NPI: 1124216585
Provider Name (Legal Business Name): KARYL T. RATTAY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2007
Last Update Date: 11/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 FEDERAL ST
DOVER DE
19901-3635
US

IV. Provider business mailing address

417 FEDERAL STREET DELAWARE DIVISION OF PUBLIC HEALTH
DOVER DE
19901
US

V. Phone/Fax

Practice location:
  • Phone: 302-744-4818
  • Fax: 302-739-6659
Mailing address:
  • Phone: 302-744-4818
  • Fax: 302-739-6659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC10007731
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: