Organization Active NPI

Rabindra Kitchener MD Inc

  • Neurology Physician
  • Troy, OH
National Provider Identifier
1760435044
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
RABINDRA KITCHENER MD INC
Practice address
3130 N County Road 25a Ste 112
Troy, OH 45373-1337
Phone
(937) 339-8513
Fax
(937) 339-8603
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Authorized official

Name
Rabindra Kitchener, M.D.
Title
Owner
Phone
(937) 339-8513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

3130 N County Road 25a Ste 112
Troy, OH 45373-1337

Mailing address

3130 N County Road 25a Ste 112
Troy, OH 45373-1337
Phone (937) 339-8513

Other identifiers 1

IdentifierTypeStateIssuer
0754358MedicaidOH

National Provider Directory

National Provider Directory

Locations

915 Michigan St
Ste 304
Sidney, OH 45365
Phone (937) 339-8513

3130 N County Road 25A
Ste 112
Troy, OH 45373
Phone (937) 339-8513

3006 N Dixie Hwy
Ste 106
Troy, OH 45373
Phone (937) 339-8513

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1760435044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 N COUNTY ROAD 25A STE 112",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-339-8513",
            "fax_number": "937-339-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N COUNTY ROAD 25A STE 112",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-339-8513",
            "fax_number": "937-339-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RABINDRA KITCHENER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "KITCHENER",
        "authorized_official_first_name": "RABINDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-339-8513",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0754358",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.