MEDICARE: RAJNIKANT N POPAT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	MD049007L	PA
2	207V00000X	Obstetrics & Gynecology Physician	MD049007L	PA

General Provider Information

NPI Number	:	1215936679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJNIKANT N POPAT MD

Provider Business Mailing Address
First Line	:	104 DELAWARE AVE
Second Line	:	STE 244
City	:	UNIONTOWN
State	:	PA
Zip	:	15401-3100
Country	:	US
Telephone Number	:	724-437-2229
Fax Number	:	724-438-6530

Provider Business Practice Location Address
First Line	:	104 DELAWARE AVE
Second Line	:	STE 244
City	:	UNIONTOWN
State	:	PA
Zip	:	15401-3100
Country	:	US
Telephone Number	:	724-437-2229
Fax Number	:	724-438-6530

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	07/15/2008

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