Provider Demographics
NPI:1710706940
Name:KATHWADIA, RITI (PA-C)
Entity type:Individual
Prefix:
First Name:RITI
Middle Name:
Last Name:KATHWADIA
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Gender:
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 751803
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1803
Mailing Address - Country:US
Mailing Address - Phone:336-475-8121
Mailing Address - Fax:336-475-5377
Practice Address - Street 1:309 PINEYWOOD RD
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-3438
Practice Address - Country:US
Practice Address - Phone:336-475-8121
Practice Address - Fax:336-475-5377
Is Sole Proprietor?:No
Enumeration Date:2024-10-04
Last Update Date:2025-03-17
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Provider Licenses
StateLicense IDTaxonomies
NC0010-14861363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant