Provider Demographics
NPI:1194387126
Name:RAI, RABJOT KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:RABJOT
Middle Name:KAUR
Last Name:RAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6511 SPRING BROOK AVE
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-3709
Mailing Address - Country:US
Mailing Address - Phone:845-790-2085
Mailing Address - Fax:
Practice Address - Street 1:2044 STATE ROUTE 32 STE 4
Practice Address - Street 2:
Practice Address - City:MODENA
Practice Address - State:NY
Practice Address - Zip Code:12548-5021
Practice Address - Country:US
Practice Address - Phone:845-883-5176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-29
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY318216207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine