Provider Demographics
NPI:1780111989
Name:PATTARKINE, RUGVED SHRIKANT (MD)
Entity type:Individual
Prefix:DR
First Name:RUGVED
Middle Name:SHRIKANT
Last Name:PATTARKINE
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 1:91 HINDUSTAN COLONY WARDHA ROAD
Mailing Address - Street 2:
Mailing Address - City:NAGPUR
Mailing Address - State:MAHARASHTRA
Mailing Address - Zip Code:440015
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10833 LE CONTE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-1530
Practice Address - Country:US
Practice Address - Phone:310-267-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-18
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program