MEDICARE: DR. ROHINTON J PATEL DMD

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	1223G0001X	General Practice Dentistry	21337	MA
2	1223G0001X	General Practice Dentistry	2270	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1979864	OTHER	HI	UCCI
3	2270	OTHER	HI	HDS

General Provider Information

NPI Number	:	1497716591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROHINTON J PATEL DMD

Provider Business Mailing Address
First Line	:	1441 KAPIOLANI BLVD
Second Line	:	SUITE 1008
City	:	HONOLULU
State	:	HI
Zip	:	96814-4402
Country	:	US
Telephone Number	:	808-955-0008
Fax Number	:	808-955-4961

Provider Business Practice Location Address
First Line	:	1441 KAPIOLANI BLVD
Second Line	:	SUITE 1008
City	:	HONOLULU
State	:	HI
Zip	:	96814-4402
Country	:	US
Telephone Number	:	808-955-0008
Fax Number	:	808-955-4961

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

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	10/04/2007

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Directions to “ DR. ROHINTON J PATEL DMD” Practice Location

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