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General NPI Number Information
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NPI Number | 1407289598
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Entity Type | Individual
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Provider Name | RAKHEE C PATEL D.M.D
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Gender | Female
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Dates
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Enumeration Date | 08/13/2013
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Last Update Date | 06/17/2015
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Provider Practice Location Address
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Address Line | 30 E 60TH ST
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City | NEW YORK
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State | NY
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Zip | 10022-1008
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Country | US
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Telephone | 212-537-3894
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Fax |
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Provider Business Mailing Address
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Address Line | 2 BOSTON POST RD
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-2605
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Country | US
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Telephone | 281-509-0977
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS039767
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License Number State | PA
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