Healthcare Provider Details

I. General information

NPI: 1235375395
Provider Name (Legal Business Name): KIRTEE RAPARIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIRTEE RISHI

II. Dates (important events)

Enumeration Date: 12/19/2008
Last Update Date: 01/10/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 E HURON ST
CHICAGO IL
60611-2908
US

IV. Provider business mailing address

2500 W PATTERSON AVE
CHICAGO IL
60618-6077
US

V. Phone/Fax

Practice location:
  • Phone: 773-946-6994
  • Fax: 713-793-1603
Mailing address:
  • Phone: 773-946-6994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberN1849
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: