| Rasik Patel Llc | |
|
2218 Upland Way Tallahassee FL 32311-3497 | |
| (850) 574-6666 | |
| (850) 663-7897 |
| Full Name | Rasik Patel Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2218 Upland Way, Tallahassee, Florida |
| Authorized Official Name and Position | Rasik Patel (PRESIDENT) |
| Authorized Official Contact | 8505746666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rasik Patel Llc 2218 Upland Way Tallahassee FL 32311-3497 Ph: (850) 574-6666 | Rasik Patel Llc 2218 Upland Way Tallahassee FL 32311-3497 Ph: (850) 574-6666 |
| NPI Number | 1508166174 |
|---|---|
| Provider Enumeration Date | 10/28/2010 |
| Last Update Date | 10/28/2010 |
| Medicare PECOS PAC ID | 2860671583 |
|---|---|
| Medicare Enrollment ID | O20110127000549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508166174 | NPI | - | NPPES |
| 274241100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0047196 (Florida) | Primary |
| Provider Name | Rasik Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285681684 PECOS PAC ID: 3678523305 Enrollment ID: I20050131000101 |
| Provider Name | Sterling E Corry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235386137 PECOS PAC ID: 0446437420 Enrollment ID: I20110527000555 |
| Provider Name | Kimberly A Burnsed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861776163 PECOS PAC ID: 5193968907 Enrollment ID: I20130827000249 |
| Provider Name | Danielle Hammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598319246 PECOS PAC ID: 9436588951 Enrollment ID: I20200612001426 |
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