Provider Demographics
NPI:1851585863
Name:PATEL, RAJESH T (DO)
Entity Type:Individual
Prefix:DR
First Name:RAJESH
Middle Name:T
Last Name:PATEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1416 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-2911
Mailing Address - Country:US
Mailing Address - Phone:908-757-6363
Mailing Address - Fax:908-754-6807
Practice Address - Street 1:1416 PARK AVE
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-2911
Practice Address - Country:US
Practice Address - Phone:908-757-6363
Practice Address - Fax:908-754-6807
Is Sole Proprietor?:No
Enumeration Date:2007-09-03
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMB83104207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine