Healthcare Provider Details

I. General information

NPI: 1760548010
Provider Name (Legal Business Name): RASHMI SEETHARAM NADIG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 12/03/2021
Certification Date: 12/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 CLARKSON AVE BOX 42
BROOKLYN NY
11203-2056
US

IV. Provider business mailing address

5601 DE SOTO AVE
WOODLAND HILLS CA
91367-6701
US

V. Phone/Fax

Practice location:
  • Phone: 718-270-1662
  • Fax: 718-270-1562
Mailing address:
  • Phone: 818-819-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number231837
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: