Provider Demographics
NPI:1033165832
Name:PATEL, RAJNI B (MD)
Entity Type:Individual
Prefix:
First Name:RAJNI
Middle Name:B
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:2031 N BROAD ST STE 145
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-1063
Mailing Address - Country:US
Mailing Address - Phone:215-368-1114
Mailing Address - Fax:215-368-6608
Practice Address - Street 1:2031 N BROAD ST
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-1063
Practice Address - Country:US
Practice Address - Phone:215-368-1114
Practice Address - Fax:215-368-6608
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2007-07-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD044538L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics