Organization Active NPI

Rashida K Kanchwala MD PC

  • Specialist
  • Media, PA
National Provider Identifier
1215107529
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD029048E Issued in PA
Legal business name
RASHIDA K KANCHWALA MD PC
Practice address
1088 W Baltimore Pike
HCC Iisuite #2105
Media, PA 19063-5146
Phone
(610) 534-6308
Fax
(610) 994-3384
NPI assigned
Mar 4, 2008
Last updated
Aug 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rashida K Kanchwala, M.D.NPI 1891898698
Title
President
Phone
(610) 534-6308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD029048E PA Primary

Addresses

Primary practice location

1088 W Baltimore Pike
HCC Iisuite #2105
Media, PA 19063-5146

Mailing address

1088 W Baltimore Pike
Hccii, Suite #2105
Media, PA 19063-5146
Phone (610) 534-6308

National Provider Directory

National Provider Directory

Locations

1088 W Baltimore Pike
Ste 2105
Media, PA 19063
Phone (610) 565-2415

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1215107529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE",
            "address_2": "HCCII, SUITE #2105",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "610-534-6308",
            "fax_number": "610-994-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE",
            "address_2": "HCC IISUITE #2105",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "610-534-6308",
            "fax_number": "610-994-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASHIDA K KANCHWALA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "KANCHWALA",
        "authorized_official_first_name": "RASHIDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-534-6308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD029048E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.