=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891021580
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARTHRITIS & RHEUMATIC PAIN CARE, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/30/2009
-----------------------------------------------------
Last Update Date | 10/30/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 200 WESTAGE BUSINESS CTR DR SUITE 115
-----------------------------------------------------
City | FISHKILL
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12524-2264
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-897-8717
-----------------------------------------------------
Fax | 845-897-8718
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 435
-----------------------------------------------------
City | FISHKILL
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12524-0435
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-897-8717
-----------------------------------------------------
Fax | 845-897-8718
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | M.D.
-----------------------------------------------------
Name | UMESH PATEL
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 845-897-8717
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RR0500X
-----------------------------------------------------
Taxonomy Name | Rheumatology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------