MEDICARE: BHAGYASHREE RATHORE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085P0229X	Pediatric Radiology Physician	35.153218	OH

General Provider Information

NPI Number	:	1093427296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHAGYASHREE RATHORE MD

Provider Business Mailing Address
First Line	:	3188 BELLEVUE AVE STE E688A
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2369
Country	:	US
Telephone Number	:	513-558-6098
Fax Number	:	513-558-7137

Provider Business Practice Location Address
First Line	:	3333 BURNET AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-4251
Fax Number	:	513-636-8145

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2022
Last Update Date	:	04/20/2026

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