MEDICARE: MR. ALKA J RAMBHIA RD

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	133V00000X	Registered Dietitian	DN002303	PA

General Provider Information

NPI Number	:	1598795619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALKA J RAMBHIA RD

Provider Business Mailing Address
First Line	:	2145 BLAIRMONT DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-2204
Country	:	US
Telephone Number	:	412-835-2021
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 RIDGE AVE
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-3449
Country	:	US
Telephone Number	:	724-250-7538
Fax Number	:

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

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	07/08/2007

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