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NPI 1750590030

NPI 1750590030 : RAKESH BHOLABHAI PATEL M.D. : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1750590030
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    Entity Type          |    Individual 
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    Provider Name        |    RAKESH BHOLABHAI PATEL M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/22/2007
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    Last Update Date     |    12/30/2025
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Provider Practice Location Address
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    Address Line         |    200 W ARBOR DR 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92103-9000
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    Country              |    US
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    Telephone            |    800-926-8273
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    Fax                  |    888-539-8781
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Provider Business Mailing Address
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    Address Line         |    FILE 57326 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90074-0001
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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        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    A102326
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    MD492779C
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    062589
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    License Number State |    GA
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