Individual provider · Type 1 NPI

Rajvi Dipak Pathak, MBBS

Student in an Organized Health Care Education/Training Program · Evanston, IL

NPI number 1174430433 Active

Practice location

355 Ridge Ave
Evanston, IL 60202-3399

Call (847) 316-4000 Map

Mailing address

716 Reba Pl Apt 3S
Evanston, IL 60202-2660

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X125088990 (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174430433

Rajvi Dipak Pathak, MBBS's National Provider Identifier is 1174430433, issued on Aug 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Evanston, IL. The record was last updated on Aug 24, 2026.