Rastogi, Maynika Vani
Rastogi, Maynika Vani is an sole proprietor health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-2099. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Rastogi, Maynika Vani can be contacted via phone (541) 267-5151.Contact Information
Primary practice address
1900 Woodland Dr
Coos Bay OR 97420-2099
Phone: (541) 267-5151
Fax: (541) 266-4566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 28558 | Oregon |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD23904 | Oregon |
Profile Details
| NPI number | 1023253358 |
|---|---|
| LBN Legal business name | Rastogi, Maynika Vani |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2008 |
| Last updated | Jan 30th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023253358 | NPPES |
| Oregon | MEDICAID | 500697714 |
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