Active NPI
Sangeeta Rahul Patil MD PSC
- Specialist
- Ashland, KY
National Provider Identifier
1821270307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 34702
- Legal business name
- SANGEETA RAHUL PATIL MD PSC
- Practice address
- 1200 Central Ave
Ste. 2
Ashland, KY 41101-7575 - Phone
- (606) 325-9769
- Fax
- (606) 329-3901
- NPI assigned
- Nov 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sangeeta Rahul Patil, M.D.
- Title
- Ceo
- Phone
- (606) 325-9769
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 34702 | KY | Primary |
Addresses
Primary practice location
1200 Central Ave
Ste. 2
Ashland, KY 41101-7575
Mailing address
1200 Central Ave
Ste. 2
Ashland, KY 41101-7575
Phone (606) 325-9769
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64347024 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199664000000",
"number": "1821270307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CENTRAL AVE",
"address_2": "STE. 2",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017575",
"telephone_number": "606-325-9769",
"fax_number": "606-329-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CENTRAL AVE",
"address_2": "STE. 2",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017575",
"telephone_number": "606-325-9769",
"fax_number": "606-329-3901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANGEETA RAHUL PATIL MD PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-27",
"last_updated": "2008-01-07",
"status": "A",
"authorized_official_last_name": "PATIL",
"authorized_official_first_name": "SANGEETA",
"authorized_official_middle_name": "RAHUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "606-325-9769",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "KY",
"license": "34702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64347024",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.