Provider Demographics
NPI:1467446369
Name:RAJESH C PATEL MD INC
Entity Type:Organization
Organization Name:RAJESH C PATEL MD INC
Other - Org Name:DAYTON RESPIRATORY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJESH
Authorized Official - Middle Name:C
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-832-0990
Mailing Address - Street 1:9001 N MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-1175
Mailing Address - Country:US
Mailing Address - Phone:937-832-0990
Mailing Address - Fax:937-832-7323
Practice Address - Street 1:9001 N MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-1175
Practice Address - Country:US
Practice Address - Phone:937-832-0990
Practice Address - Fax:937-832-7323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-07
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2313553Medicaid
OH2313553Medicaid