Provider Demographics
NPI:1922672211
Name:PATEL-JERLS, RINA ANAND (DC)
Entity Type:Individual
Prefix:DR
First Name:RINA
Middle Name:ANAND
Last Name:PATEL-JERLS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:RINA
Other - Middle Name:ANAND
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:87-2070 FARRINGTON HWY # B4
Mailing Address - Street 2:
Mailing Address - City:WAIANAE
Mailing Address - State:HI
Mailing Address - Zip Code:96792-3757
Mailing Address - Country:US
Mailing Address - Phone:808-425-2473
Mailing Address - Fax:
Practice Address - Street 1:87-2070 FARRINGTON HWY # B4
Practice Address - Street 2:
Practice Address - City:WAIANAE
Practice Address - State:HI
Practice Address - Zip Code:96792-3757
Practice Address - Country:US
Practice Address - Phone:808-425-2473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC-1486-0111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor