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NPI Code Detail

MEDICARE: DR. RAJNIKANT MANIBHAI PATEL M.D.

MEDICARE: DR. RAJNIKANT MANIBHAI PATEL M.D.
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
1208600000XSurgery Physician35-04-9525-POH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467437160
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAJNIKANT MANIBHAI PATEL M.D.
Provider Business Mailing Address
First Line : 1636 BALMORAL WAY
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-2416
Country : US
Telephone Number : 440-997-6585
Fax Number : 440-997-6586
Provider Business Practice Location Address
First Line : 2422 LAKE AVE
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-4985
Country : US
Telephone Number : 440-997-6585
Fax Number : 440-997-6586
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2005
Last Update Date : 02/25/2015

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