Patcha, Rajeswara R.

Patcha, Rajeswara R. is an individual health care provider with primary practice located at 172 E Main St , Huntington NY 11743-2948. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Patcha, Rajeswara R. can be contacted via phone (631) 385-0022.

Contact Information

Primary practice address
172 E Main St Huntington NY 11743-2948
Phone: (631) 385-0022
Fax: (631) 385-0896
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 147275 New York
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 147275 New York

Profile Details

NPI number 1104829407
LBN Legal business name Patcha, Rajeswara R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Mar 19th, 2020 - about 4 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 1104829407 NPPES
New York MEDICAID 00767395

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