Individual
DR. RAHUL DUNDAPPA PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 W MORENO ST, PENSACOLA, FL 32501-2316
(850) 469-7406
(850) 478-1312
Mailing address
245 W AIRPORT BLVD, PENSACOLA, FL 32505-2254
(850) 469-7406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME107234
FL
208M00000X
Hospitalist Physician
Primary
ME107234
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000190734
ANTHEM BCBS
OH
01
—
000000207287
UNISON
OH
05
—
002445400
—
FL
01
—
0193955
MOLINA
OH
05
—
0193955
—
OH
01
—
0402114
UNITED HEALTHCARE
—
01
—
110218237
RRD MEDICARE
—
01
—
1491Z
BCBSFL
FL
01
—
5179116
AETNA
CT
01
—
611371072
CHAMPVA
CO
01
—
611371072
CIGNA
CT
01
—
611371072
OHIO HEALTH CHOICE
OH
01
—
611371072
TRICARE
SC
01
—
611371072026
CARESOURCE
OH
05
—
64030604
—
KY
Enumeration date
01/04/2006
Last updated
01/17/2014
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