Organization Active NPI

Rajni Patel MD PA

  • Child & Adolescent Psychiatry Physician
  • Panama City, FL
National Provider Identifier
1124383203
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME0060091 Issued in FL
Legal business name
RAJNI PATEL MD PA
Practice address
11 W 23Rd St
Suite B1
Panama City, FL 32405-7603
Phone
(850) 747-0168
Fax
(859) 896-5566
NPI assigned
Jul 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rajnikant B Patel, M.D.
Title
Physician
Phone
(850) 747-0168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X ME0060091 FL Primary

Addresses

Primary practice location

11 W 23Rd St
Suite B1
Panama City, FL 32405-7603

Mailing address

11 W 23Rd St
Suite B1
Panama City, FL 32405-7603
Phone (850) 747-0168

National Provider Directory

National Provider Directory

Locations

4836 Highway 389
Lynn Haven, FL 32444
Phone (820) 747-0168

11 W 23rd St
Ste B1
Panama City, FL 32405
Phone (850) 215-1793

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1124383203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W 23RD ST",
            "address_2": "SUITE B1",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057603",
            "telephone_number": "850-747-0168",
            "fax_number": "859-896-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W 23RD ST",
            "address_2": "SUITE B1",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057603",
            "telephone_number": "850-747-0168",
            "fax_number": "859-896-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJNI PATEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJNIKANT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-747-0168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME0060091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.