Healthcare Provider Details

I. General information

NPI: 1104853068
Provider Name (Legal Business Name): RITU KHERA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RITU BHALLA M.D.

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 E 38TH ST
ERIE PA
16504-1559
US

IV. Provider business mailing address

1173 GREENFIELD DR
ERIE PA
16509-2906
US

V. Phone/Fax

Practice location:
  • Phone: 814-860-2177
  • Fax: 814-860-2082
Mailing address:
  • Phone: 814-868-1813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License NumberMD038854L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberMD038854L
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License NumberMD038854L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: