Healthcare Provider Details

I. General information

NPI: 1558049551
Provider Name (Legal Business Name): ARYANKA K RATHOD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 W MILLER ST
ORLANDO FL
32806-2032
US

IV. Provider business mailing address

1335 SLIGH BLVD
ORLANDO FL
32806-3901
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-1692
  • Fax: 407-872-0544
Mailing address:
  • Phone: 321-841-1692
  • Fax: 407-649-6876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License NumberTRN38697
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: