Organization Active NPI

Rasik Patel LLC

  • Psychiatry Physician
  • Tallahassee, FL
National Provider Identifier
1508166174
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0047196 Issued in FL
Legal business name
RASIK PATEL LLC
Practice address
2218 Upland Way
Tallahassee, FL 32311-3497
Phone
(850) 574-6666
Fax
(850) 663-7897
NPI assigned
Oct 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Rasik Patel, M.D.
Title
President
Phone
(850) 574-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME0047196 FL Primary

Addresses

Primary practice location

2218 Upland Way
Tallahassee, FL 32311-3497

Mailing address

2218 Upland Way
Tallahassee, FL 32311-3497
Phone (850) 574-6666

Other identifiers 1

IdentifierTypeStateIssuer
274241100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1508166174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 UPLAND WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323113497",
            "telephone_number": "850-574-6666",
            "fax_number": "850-663-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 UPLAND WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323113497",
            "telephone_number": "850-574-6666",
            "fax_number": "850-663-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASIK PATEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RASIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-574-6666",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0047196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274241100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.