Provider Demographics
NPI:1790970085
Name:PATEL, RAKESH DAHYABHAI (MD)
Entity Type:Individual
Prefix:DR
First Name:RAKESH
Middle Name:DAHYABHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9230 SALLY LN
Mailing Address - Street 2:APT 2E
Mailing Address - City:SCHILLER PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60176-2315
Mailing Address - Country:US
Mailing Address - Phone:847-671-5936
Mailing Address - Fax:
Practice Address - Street 1:DOROTHEA DIX HOSPITAL
Practice Address - Street 2:3601 MAIL SERVICE CENTER
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27699-0001
Practice Address - Country:US
Practice Address - Phone:919-766-0740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9500177207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine