Organization Active NPI

Sangeeta Rahul Patil MD PSC

  • Specialist
  • Ashland, KY
National Provider Identifier
1821270307
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
34702 Issued in KY
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

Updated by the provider on Jan 7, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
64347024MedicaidKY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.