Provider Demographics
NPI:1023146370
Name:RATHNAKUMAR, CHARUMATHI (MD)
Entity type:Individual
Prefix:
First Name:CHARUMATHI
Middle Name:
Last Name:RATHNAKUMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHARUMATHI
Other - Middle Name:
Other - Last Name:THIRUGNANAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:19 SCENIC DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08810-1492
Mailing Address - Country:US
Mailing Address - Phone:732-438-6767
Mailing Address - Fax:732-230-2479
Practice Address - Street 1:35 PROGRESS ST
Practice Address - Street 2:SUITE A-4
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-1102
Practice Address - Country:US
Practice Address - Phone:732-514-9624
Practice Address - Fax:732-377-3767
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07967300207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease