Individual
RAJIV PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
593 EDDY ST, APC BUILDING 7TH FLOOR, PROVIDENCE, RI 02903-4923
(401) 444-3565
Mailing address
PO BOX 967, FLAGSTAFF, AZ 86002-0967
(928) 773-0003
(928) 773-1170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08977400
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
59727
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
LP03736
RI
207RP1001X
Pulmonary Disease Physician
59727
AZ
390200000X
Student in an Organized Health Care Education/Training Program
125052882
IL
Other
Enumeration date
09/04/2007
Last updated
01/05/2021
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