MEDICARE: MR. HITENDRA M RAMBHIA 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	207RH0003X	Hematology & Oncology Physician	1934221	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	830006720	OTHER	NY	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P1974068	OTHER	NY	OXFORD

General Provider Information

NPI Number	:	1629061155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HITENDRA M RAMBHIA MD

Provider Business Mailing Address
First Line	:	425 N BROADWAY UNIT 285
Second Line	:
City	:	JERICHO
State	:	NY
Zip	:	11753-5014
Country	:	US
Telephone Number	:	718-377-7629
Fax Number	:	718-677-1127

Provider Business Practice Location Address
First Line	:	1915 OCEAN AVE FL 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-6801
Country	:	US
Telephone Number	:	718-377-7629
Fax Number	:	718-677-1127

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

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	10/22/2019

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