Provider Demographics
NPI:1487602090
Name:PATEL, RAJESH DINESH (RPT)
Entity type:Individual
Prefix:MR
First Name:RAJESH
Middle Name:DINESH
Last Name:PATEL
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 24683
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37933-2683
Mailing Address - Country:US
Mailing Address - Phone:865-333-4844
Mailing Address - Fax:888-907-5353
Practice Address - Street 1:1612 DOWNTOWN WEST BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5408
Practice Address - Country:US
Practice Address - Phone:865-333-4844
Practice Address - Fax:888-907-5353
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2016-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000005104225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN702003656OtherCARITEN
TNP00152966OtherMEDICARE RAILROAD
TN61049550OtherUSPS INJURY COMP.
TN3148138OtherBLUE CROSS BLUE SHIELD
TN3659168Medicare ID - Type Unspecified