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General NPI Number Information
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NPI Number | 1104844810
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Entity Type | Individual
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Provider Name | RASIK A PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 05/12/2024
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Provider Practice Location Address
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Address Line | 1600 CREEKSIDE DR SUITE 2800
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City | FOLSOM
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State | CA
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Zip | 95630-3444
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Country | US
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Telephone | 925-367-0641
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Fax | 925-964-8003
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Provider Business Mailing Address
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Address Line | 3020 BERNAL AVE STE 110 PMB 3074
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City | PLEASANTON
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State | CA
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Zip | 94566-3444
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Country | US
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Telephone | 925-367-0641
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Fax | 925-964-8003
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A48849
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A48849
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License Number State | CA
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