Provider Demographics
NPI:1386073427
Name:SRIKANTH, RASHMI (MD)
Entity type:Individual
Prefix:
First Name:RASHMI
Middle Name:
Last Name:SRIKANTH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23203 COLUMBUS RD
Mailing Address - Street 2:STE 1
Mailing Address - City:COLUMBUS
Mailing Address - State:NJ
Mailing Address - Zip Code:08022-1984
Mailing Address - Country:US
Mailing Address - Phone:609-303-4450
Mailing Address - Fax:609-303-4451
Practice Address - Street 1:23203 COLUMBUS RD STE 1
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NJ
Practice Address - Zip Code:08022-1984
Practice Address - Country:US
Practice Address - Phone:609-303-4450
Practice Address - Fax:609-303-4451
Is Sole Proprietor?:No
Enumeration Date:2013-11-08
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09436200207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine