Provider Demographics
NPI:1386618742
Name:PATEL, RAJANI J (MD)
Entity type:Individual
Prefix:DR
First Name:RAJANI
Middle Name:J
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:501 BATH RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BRISTOL
Mailing Address - State:PA
Mailing Address - Zip Code:19007-3101
Mailing Address - Country:US
Mailing Address - Phone:215-785-9055
Mailing Address - Fax:215-785-9098
Practice Address - Street 1:501 BATH RD
Practice Address - Street 2:SUITE 210
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007-3101
Practice Address - Country:US
Practice Address - Phone:215-785-9055
Practice Address - Fax:215-785-9098
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD-038199L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3030414OtherCIGNA
NJ716769C2DOtherMEDICARE PROVIDER NUMBER
PA109457OtherVALUE OPTIONS
PA293821000OtherMAGELLAN BEHAVIOR HEALTH
PA4325260OtherAETNA BEHAVIOR HEALTH
PA4325260OtherAETNA BEHAVIOR HEALTH
PA293821000OtherMAGELLAN BEHAVIOR HEALTH