Basic Information
Provider Information
NPI: 1245591577
EntityType: 2
ReplacementNPI:  
OrganizationName: RCHP FLORENCE LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: PARAG PATEL, MD
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 10005
Address2:  
City: FLORENCE
State: AL
PostalCode: 356312005
CountryCode: US
TelephoneNumber: 2567689191
FaxNumber:  
Practice Location
Address1: 541 W COLLEGE ST
Address2: 3100
City: FLORENCE
State: AL
PostalCode: 356305323
CountryCode: US
TelephoneNumber: 2567689191
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/04/2012
LastUpdateDate: 09/24/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: PAGE
AuthorizedOfficialFirstName: STEPHEN
AuthorizedOfficialMiddleName: L.
AuthorizedOfficialTitleorPosition: VICE PRESIDENT
AuthorizedOfficialTelephone: 6158449849
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


Home