Provider Demographics
NPI:1366701666
Name:RATH, BARBEL ANGELIKA (MD)
Entity type:Individual
Prefix:DR
First Name:BARBEL
Middle Name:ANGELIKA
Last Name:RATH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:EBERSWALDER STR. 34
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:BERLIN
Mailing Address - Zip Code:10437
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CHARITE UNIVERSITY MEDICAL CENTER, DEPT. OF PEDIATRICS
Practice Address - Street 2:DIV. OF PNEUM-IMMUNOL., AUGUSTENBURGER PLATZ 1
Practice Address - City:BERLIN
Practice Address - State:BERLIN
Practice Address - Zip Code:13353
Practice Address - Country:DE
Practice Address - Phone:011493045-066-6664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-08
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15613R2080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA07660Medicaid