1366701666 NPI number — DR. BARBEL ANGELIKA RATH M.D.

Table of content: DR. BARBEL ANGELIKA RATH M.D. (NPI 1366701666)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366701666 NPI number — DR. BARBEL ANGELIKA RATH M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RATH
Provider First Name:
BARBEL
Provider Middle Name:
ANGELIKA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366701666
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/08/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
EBERSWALDER STR. 34
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BERLIN
Provider Business Mailing Address State Name:
BERLIN
Provider Business Mailing Address Postal Code:
10437
Provider Business Mailing Address Country Code:
DE
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CHARITE UNIVERSITY MEDICAL CENTER, DEPT. OF PEDIATRICS
Provider Second Line Business Practice Location Address:
DIV. OF PNEUM-IMMUNOL., AUGUSTENBURGER PLATZ 1
Provider Business Practice Location Address City Name:
BERLIN
Provider Business Practice Location Address State Name:
BERLIN
Provider Business Practice Location Address Postal Code:
13353
Provider Business Practice Location Address Country Code:
DE
Provider Business Practice Location Address Telephone Number:
0114930450666664
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/08/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2080P0208X , with the licence number:  15613R , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 07660 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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