Provider Demographics
NPI:1972393676
Name:PATHAK, ROYNEESH
Entity type:Individual
Prefix:
First Name:ROYNEESH
Middle Name:
Last Name:PATHAK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7725 TYLERS MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-8503
Mailing Address - Country:US
Mailing Address - Phone:513-430-3349
Mailing Address - Fax:
Practice Address - Street 1:7725 TYLERS MEADOW DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-8503
Practice Address - Country:US
Practice Address - Phone:513-430-3349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.425297163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine