Provider Demographics
NPI:1578720850
Name:PATRI, RAHUL (MD)
Entity Type:Individual
Prefix:DR
First Name:RAHUL
Middle Name:
Last Name:PATRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3345 PLAZA 10 DR STE E
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77707-2553
Mailing Address - Country:US
Mailing Address - Phone:409-838-2626
Mailing Address - Fax:409-838-1980
Practice Address - Street 1:3345 PLAZA 10 DR STE E
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707-2553
Practice Address - Country:US
Practice Address - Phone:409-838-2626
Practice Address - Fax:409-838-1980
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP8975207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease