Provider Demographics
NPI:1669785572
Name:RAJESH C. PATEL, M.D., INC.
Entity type:Organization
Organization Name:RAJESH C. PATEL, M.D., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:YUNGER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:937-312-9144
Mailing Address - Street 1:7056 CORPORATE WAY
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4274
Mailing Address - Country:US
Mailing Address - Phone:937-312-9144
Mailing Address - Fax:937-312-9146
Practice Address - Street 1:7056 CORPORATE WAY
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-4274
Practice Address - Country:US
Practice Address - Phone:937-312-9144
Practice Address - Fax:937-312-9146
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAJESH C. PATEL, M.D., INC. DBA SLEEP THERAPEUTICS OF OHIO, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-20
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH35-07-1174174400000X
OH11185332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
6411970001Medicare NSC