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General NPI Number Information
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NPI Number | 1538170907
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Entity Type | Individual
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Provider Name | RAJANTIBEN N PATEL MD
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Gender | Female
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 2989 SUNSET BLVD
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-3497
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Country | US
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Telephone | 803-724-6058
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 17147
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License Number State | SC
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