MEDICARE: DR. RAJESHKUMAR M. PATEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	23414	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932192481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJESHKUMAR M. PATEL MD

Provider Business Mailing Address
First Line	:	724 ARDEN LN
Second Line	:	SUITE 100
City	:	ROCK HILL
State	:	SC
Zip	:	29732-2984
Country	:	US
Telephone Number	:	803-980-7337
Fax Number	:	803-980-2229

Provider Business Practice Location Address
First Line	:	724 ARDEN LN
Second Line	:	SUITE 100
City	:	ROCK HILL
State	:	SC
Zip	:	29732-2984
Country	:	US
Telephone Number	:	803-980-7337
Fax Number	:	803-980-2229

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	02/18/2011

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