Organization Active NPI

Rafiq Patel M D P a

  • General Practice Physician
  • Edgewood, MD
National Provider Identifier
1841469723
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
D0018629 Issued in MD
Legal business name
RAFIQ PATEL M D P A
Practice address
1952 Pulaski Highway
Edgewood, MD 21040
Phone
(410) 679-5800
Fax
(410) 679-2340
NPI assigned
Feb 26, 2008
Organization subpart
Yes
Parent organization
RAFIQ PATEL M D P AAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Dr. Rafiq K Patel, MD
Title
Medical Director
Phone
(410) 679-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X D0018629 MD Primary

Addresses

Primary practice location

1952 Pulaski Highway
Edgewood, MD 21040

Mailing address

1952 Pulaski Highway
Edgewood, MD 21040
Phone (410) 679-5800

National Provider Directory

National Provider Directory
Part of
Rafiq Patel M D P a

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1841469723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 PULASKI HIGHWAY",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "21040",
            "telephone_number": "410-679-5800",
            "fax_number": "410-679-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 PULASKI HIGHWAY",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "21040",
            "telephone_number": "410-679-5800",
            "fax_number": "410-679-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFIQ PATEL M D P A",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAFIQ PATEL M D P A",
        "enumeration_date": "2008-02-26",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAFIQ",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-679-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0018629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.