Provider Demographics
NPI:1548608334
Name:PATEL, RAJAL (MD)
Entity Type:Individual
Prefix:
First Name:RAJAL
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:211 E OHIO ST
Mailing Address - Street 2:APT 2010
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3262
Mailing Address - Country:US
Mailing Address - Phone:908-922-8353
Mailing Address - Fax:
Practice Address - Street 1:2121 MEDICAL PARK DR STE 4
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902
Practice Address - Country:US
Practice Address - Phone:301-681-4422
Practice Address - Fax:301-681-1684
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00851542085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC666187OtherDC MEDICARE
MD667074OtherMARYLAND MEDICARE