DR. RISHABH DEV PHUKAN MD NPI 1063072106

NPI Information

NPI: 1063072106
Provider Name: DR. RISHABH DEV PHUKAN, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
3401 CIVIC CENTER BLVD
DIVISION OF CHILD AND ADOLESCENT PSYCHIATRY
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-7131
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DR. Rishabh Dev Phukan, MD is a child and adolescent psychiatry psychiatry neurology in Philadelphia, PA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Rishabh Dev Phukan, MD NPI is 1063072106. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3401 CIVIC CENTER BLVD
DIVISION OF CHILD AND ADOLESCENT PSYCHIATRY
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-7131

The enumeration date for this NPI number is 6/20/2019 and was last updated on 6/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	MT224944	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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