Provider Demographics
NPI: | 1023099587 |
---|---|
Name: | PATEL, ROHIT G (MD) |
Entity type: | Individual |
Prefix: | DR |
First Name: | ROHIT |
Middle Name: | G |
Last Name: | PATEL |
Suffix: | |
Gender: | M |
Credentials: | MD |
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 1890 |
Mailing Address - Street 2: | |
Mailing Address - City: | ANNISTON |
Mailing Address - State: | AL |
Mailing Address - Zip Code: | 36202-1890 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 256-236-8611 |
Mailing Address - Fax: | 256-236-8636 |
Practice Address - Street 1: | 901 KEITH AVE |
Practice Address - Street 2: | |
Practice Address - City: | ANNISTON |
Practice Address - State: | AL |
Practice Address - Zip Code: | 36207-4762 |
Practice Address - Country: | US |
Practice Address - Phone: | 256-236-8611 |
Practice Address - Fax: | 256-236-8636 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2005-11-10 |
Last Update Date: | 2023-02-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
AL | 19197 | 207RP1001X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
AL | 200031053 | Other | PGBA RAILROAD MEDICARE |
AL | 000076667 | Medicaid | |
AL | 4810112 | Other | UNITED HEALTHCARE |
AL | 51076667PAT | Other | BLUE CROSS |
AL | F49100 | Medicare UPIN | |
AL | 4810112 | Other | UNITED HEALTHCARE |