Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Rishabh Dev Phukan, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1063072106

Dr. Rishabh Dev Phukan, MD is a Child & Adolescent Psychiatry Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2019.

Licensed in
PA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3401 Civic Center Blvd Division Of Child And Adolescent Psychiatry
Philadelphia, PA 19104
Phone: (215) 590-7131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence MD482097 (PA)

Record details

NPI number1063072106
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2019
Last updated in NPPESJuly 5, 2024
Certification dateJuly 5, 2024

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