Renjen, Rahul
Renjen, Rahul is an sole proprietor health care provider with primary practice located at 103 White Park Rd , Ithaca NY 14850-2258. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Renjen, Rahul can be contacted via phone (716) 523-1885.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 051708-1 | New York |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DS037113 | Pennsylvania |
Profile Details
| NPI number | 1376677633 |
|---|---|
| LBN Legal business name | Renjen, Rahul |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Apr 14th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376677633 | NPPES |
| New York | MEDICAID | 02898355 | |
| New York | MEDICAID | 1020266440001 |
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