Basic Information
Provider Information
NPI: 1760782528
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SOLANKI-SINGH
FirstName: RISHITA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.O
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 25487
Address2:  
City: SARASOTA
State: FL
PostalCode: 342772487
CountryCode: US
TelephoneNumber: 9413713500
FaxNumber: 8552534836
Practice Location
Address1: 5601 21ST AVE W
Address2: #D
City: BRADENTON
State: FL
PostalCode: 342095642
CountryCode: US
TelephoneNumber: 9413137142
FaxNumber: 9417942805
Other Information
ProviderEnumerationDate: 10/27/2010
LastUpdateDate: 02/17/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X258882NYN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XOS13243FLY Allopathic & Osteopathic PhysiciansInternal Medicine 

ID Information
IDTypeStateIssuerDescription
0233897005NY MEDICAID
14ZN501FLBCBSOTHER
01482540005FL MEDICAID


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