Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AMAL RASTOGI, DMD, MSD, PHD
Active Sole ProprietorDR. AMAL RASTOGI, DMD, MSD, PHD is a Periodontology healthcare provider located in WALDORF, Maryland. NPI 1154586162 is currently active in the NPPES registry. Verify at CMS.
Periodontology · WALDORF, MD
Registration Details
- NPI Number
- 1154586162
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2008 (18.114600805387 yrs)
- Last Updated
- Jan 20, 2010
- Licenses
-
14431 (MD)0401412038 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11855 HOLLY LNSUITE 106WALDORF, MD, 206013114Browse MD providers · Browse ZIP 20601
- Phone
- 3016453100
- Fax
- 3018850600
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.