Provider Demographics
NPI:1720468606
Name:PATIL, RASHMI (NP)
Entity Type:Individual
Prefix:
First Name:RASHMI
Middle Name:
Last Name:PATIL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4437 CALLECITA CT
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-3829
Mailing Address - Country:US
Mailing Address - Phone:510-213-0697
Mailing Address - Fax:
Practice Address - Street 1:995 MONTAGUE EXPY STE 218
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-6885
Practice Address - Country:US
Practice Address - Phone:408-890-7295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95001417363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care