Provider Demographics
NPI:1730196239
Name:PATEL, RAKESH B (MD)
Entity type:Individual
Prefix:DR
First Name:RAKESH
Middle Name:B
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 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17405
Practice Address - Country:US
Practice Address - Phone:717-851-3884
Practice Address - Fax:717-851-3382
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4297642080P0208X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA205764OtherJOHNS HOPKINS
PA50062667OtherCAPITAL BLUE CROSS-WMG
PA102472OtherGEISINGER
PA2157543OtherMAMSI-WMG
PA1520114OtherGATEWAY-WMG
PA188538OtherUNISON-WMG
PA20055653OtherAMERIHEALTH MERCY-WMG
PA101701836Medicaid
PA1555993OtherGATEWAY-WMG
MD891145OtherCAREFIRST MD BCBS
PA1884268OtherHIGHMARK BLUE SHIELD
PA7903946OtherAETNA
PA2753710000OtherAMERIHEALTH 65 PA
PA1520114OtherGATEWAY-WMG
PA205764OtherJOHNS HOPKINS
PA101701836Medicaid