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NPI Code Detail

MEDICARE: RAOJI S PATEL M.D.

MEDICARE: RAOJI S PATEL M.D.
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
1261QH0100XHealth Service Clinic/Center127154-1NY

Other Identifiers

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

General Provider Information

NPI Number : 1952493298
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAOJI S PATEL M.D.
Provider Business Mailing Address
First Line : 2 SANDALWOOD DR
Second Line :
City : EAST BRUNSWICK
State : NJ
Zip : 08816-4046
Country : US
Telephone Number : 732-254-1192
Fax Number : 718-981-1431
Provider Business Practice Location Address
First Line : 209 BROAD ST
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10304-2033
Country : US
Telephone Number : 718-273-7749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 05/27/2011

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Directions to “ RAOJI S PATEL M.D.” Practice Location

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