Patel, Rakeshkumar Bhagwandas

Patel, Rakeshkumar Bhagwandas is an individual health care provider with primary practice located at 1025 Executive Park Blvd , Kingsport TN 37660-4620. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Patel, Rakeshkumar Bhagwandas can be contacted via phone (423) 830-8110.

Contact Information

Primary practice address
1025 Executive Park Blvd Kingsport TN 37660-4620
Phone: (423) 830-8110
Fax: (423) 473-1102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD41317 Tennessee
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101238677 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD41317 Tennessee

Profile Details

NPI number 1013998004
LBN Legal business name Patel, Rakeshkumar Bhagwandas
Credentials M.D., MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Apr 19th, 2023 - about last year

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 1013998004 NPPES
Tennessee MEDICAID Q029152
Tennessee MEDICAID Q004992
Tennessee Other P00877921
Tennessee MEDICAID 1013998004
Tennessee Other 81127000

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