Individual
RAJESH I PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
(609) 677-9729
(609) 652-6270
Mailing address
8025 BLACK HORSE PIKE STE 300, PLEASANTVILLE, NJ 08232-2962
(609) 652-8316
(609) 653-8764
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA07244700
NJ
2085R0204X
Vascular & Interventional Radiology Physician
25MA07244700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300122831
RAILROAD MEDICARE
NJ
05
—
8507207
—
NJ
01
—
P00758340
RAILROAD MEDICARE
NJ
01
—
P00847818
RAILROAD MEDICARE
NJ
Enumeration date
08/23/2006
Last updated
03/18/2024
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