NPI 1376870600 · live from the CMS NPI Registry
Reetha Bakthula
Radiology, Diagnostic Radiology in Brooklyn, NY. National Provider Identifier 1376870600, active.
NPI record
| NPI | 1376870600 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 4802 10th Ave, Maimonides Med Ctr, Dept Of Radiology, Brooklyn, NY 11219 |
| Practice phone | 718-283-6158 |
| Mailing address | 4802 10th Ave, Maimonides Med Ctr; Dept Of Radiology, Brooklyn, NY 11219 |
| Enumerated | November 6, 2009 |
| Last updated | November 13, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 83323 (CT) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 249939 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.