Provider Demographics
NPI:1053355693
Name:PATEL, RAKESH H (MD)
Entity type:Individual
Prefix:DR
First Name:RAKESH
Middle Name:H
Last Name:PATEL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2408 WHITNEY AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-3209
Mailing Address - Country:US
Mailing Address - Phone:203-626-0160
Mailing Address - Fax:203-294-6734
Practice Address - Street 1:2416 WHITNEY AVE STE 3
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3249
Practice Address - Country:US
Practice Address - Phone:203-407-3574
Practice Address - Fax:203-466-8580
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT037864208VP0014X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001378646Medicaid
CT0V7380OtherHEALTHNET
CT223514271OtherHMC/PPO
CT223514271OtherMASHANTUCKET
CTA752119OtherOXFORD
CT00137864600OtherBLUECARE FAMILY PLAN
CT010037864CT01OtherBLUE CROSS BLUE SHIELD
CT137864OtherCONNECTICARE
CT223514271OtherUNITED HEALTHCARE
CT223514271OtherCHN
CT4643890OtherAETNA
CT7074291002OtherCIGNA
CT001378646Medicaid