Provider Demographics
NPI:1215936679
Name:POPAT, RAJNIKANT N (MD)
Entity type:Individual
Prefix:
First Name:RAJNIKANT
Middle Name:N
Last Name:POPAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 DELAWARE AVE
Mailing Address - Street 2:STE 244
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-3100
Mailing Address - Country:US
Mailing Address - Phone:724-437-2229
Mailing Address - Fax:724-438-6530
Practice Address - Street 1:104 DELAWARE AVE
Practice Address - Street 2:STE 244
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-3100
Practice Address - Country:US
Practice Address - Phone:724-437-2229
Practice Address - Fax:724-438-6530
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD049007L208D00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F50139Medicare UPIN
501472Medicare ID - Type Unspecified