Kaistha, Rupal Patel

Kaistha, Rupal Patel is an individual health care provider with primary practice located at 1032 Cherry Hill Mall Dr. Daniel H. Isaac, O.D., P.A. & Assoc., Cherry Hill NJ 08002-2100. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kaistha, Rupal Patel can be contacted via phone (856) 665-4111.

Contact Information

Primary practice address
1032 Cherry Hill Mall Dr. Daniel H. Isaac, O.D., P.A. & Assoc. Cherry Hill NJ 08002-2100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00596000 New Jersey

Profile Details

NPI number 1679692685
LBN Legal business name Kaistha, Rupal Patel
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679692685 NPPES
New Jersey MEDICAID 0066095

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