Provider Demographics
NPI:1720827942
Name:RATHOUR, SUKHDEV (MD)
Entity type:Individual
Prefix:MR
First Name:SUKHDEV
Middle Name:
Last Name:RATHOUR
Suffix:
Gender:M
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:HARLEM HOSPITAL CENTER, DEPARTMENT OF PEDIATRICS: MLK 1
Mailing Address - Street 2:506, LENOX AVENUE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037
Mailing Address - Country:US
Mailing Address - Phone:212-939-4019
Mailing Address - Fax:212-939-4022
Practice Address - Street 1:HARLEM HOSPITAL CENTER, DEPARTMENT OF PEDIATRICS: MLK 1
Practice Address - Street 2:506, LENOX AVENUE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037
Practice Address - Country:US
Practice Address - Phone:212-939-4019
Practice Address - Fax:212-939-4022
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program