Provider Demographics
NPI:1407816242
Name:PATEL, RAJNIKANT (MD)
Entity Type:Individual
Prefix:
First Name:RAJNIKANT
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3299 SW 34 STREET
Mailing Address - Street 2:UNIT 100B
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474
Mailing Address - Country:US
Mailing Address - Phone:352-861-1533
Mailing Address - Fax:352-861-1562
Practice Address - Street 1:3299 SW 34 STREET
Practice Address - Street 2:UNIT 100B
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474
Practice Address - Country:US
Practice Address - Phone:352-861-1533
Practice Address - Fax:352-861-1562
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 93867207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL275015500Medicaid