Provider Demographics
NPI:1194931337
Name:RASHIK PATEL, MD, INC
Entity type:Organization
Organization Name:RASHIK PATEL, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:RASHIK
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-937-7203
Mailing Address - Street 1:1105 E FOSTER RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-6437
Mailing Address - Country:US
Mailing Address - Phone:805-937-7203
Mailing Address - Fax:805-937-7459
Practice Address - Street 1:1105 E FOSTER RD
Practice Address - Street 2:SUITE F
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-6437
Practice Address - Country:US
Practice Address - Phone:805-937-7203
Practice Address - Fax:805-937-7459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA51638207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A516380Medicaid
CAF60481Medicare UPIN
CAWA51638EMedicare PIN