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NPI Code Detail

MEDICARE: RINA PATEL

MEDICARE: RINA PATEL
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1770119851
Entity Type Code : Individual
Provider Name (Legal Business Name) : RINA PATEL
Provider Business Mailing Address
First Line : 10001 W INNOVATION DR STE 200
Second Line :
City : WAUWATOSA
State : WI
Zip : 53226-4851
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 925 N MILWAUKEE AVE UNIT 200
Second Line :
City : VERNON HILLS
State : IL
Zip : 60061-1637
Country : US
Telephone Number : 414-771-6780
Fax Number : 414-238-2424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2020
Last Update Date : 05/24/2021

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Directions to “ RINA PATEL ” Practice Location

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