Provider Demographics
NPI:1871582064
Name:RAJANI, SATISH H (DDS)
Entity type:Individual
Prefix:DR
First Name:SATISH
Middle Name:H
Last Name:RAJANI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-3628
Mailing Address - Country:US
Mailing Address - Phone:845-356-3242
Mailing Address - Fax:845-356-3242
Practice Address - Street 1:1 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-3628
Practice Address - Country:US
Practice Address - Phone:845-356-3242
Practice Address - Fax:845-356-3242
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-19
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY383291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00823092Medicaid