Provider Demographics
NPI:1588623870
Name:PATEL, RASHMI JAIN (MD)
Entity Type:Individual
Prefix:DR
First Name:RASHMI
Middle Name:JAIN
Last Name:PATEL
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 1:909 GURNARD TER
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-3269
Mailing Address - Country:US
Mailing Address - Phone:510-994-0460
Mailing Address - Fax:510-994-0460
Practice Address - Street 1:909 GURNARD TER
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-3269
Practice Address - Country:US
Practice Address - Phone:510-994-0460
Practice Address - Fax:510-994-0460
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2022-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA73974207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A739740Medicaid
CAAW690OtherMEDICARE
H99277Medicare UPIN
CAP00180891Medicare PIN