Provider Demographics
NPI:1427237270
Name:BLANKENSHIP, RATHI (PA-C)
Entity type:Individual
Prefix:MRS
First Name:RATHI
Middle Name:
Last Name:BLANKENSHIP
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:201 CONCOURSE BLVD
Mailing Address - Street 2:STE 200
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-5640
Mailing Address - Country:US
Mailing Address - Phone:804-939-6186
Mailing Address - Fax:804-549-4032
Practice Address - Street 1:10800 MIDLOTHIAN TPKE
Practice Address - Street 2:SUITE 309
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-4724
Practice Address - Country:US
Practice Address - Phone:804-794-2307
Practice Address - Fax:804-549-4032
Is Sole Proprietor?:No
Enumeration Date:2007-10-29
Last Update Date:2020-08-26
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Provider Licenses
StateLicense IDTaxonomies
VA0110002528363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant