Provider Demographics
NPI:1174411318
Name:RUR, LLC.
Entity type:Organization
Organization Name:RUR, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAKESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATYAL
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:414-260-5553
Mailing Address - Street 1:18775 BROOKFIELD LAKE DR UNIT 3
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53045-6170
Mailing Address - Country:US
Mailing Address - Phone:414-313-5749
Mailing Address - Fax:
Practice Address - Street 1:16815 W WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-5714
Practice Address - Country:US
Practice Address - Phone:414-260-5553
Practice Address - Fax:414-260-8666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)