| Nins | |
|
15963 Quantico Rd Suite C, Apple Valley CA 92307-0839 | |
| (760) 242-4810 | |
| (760) 242-4760 |
| Full Name | Nins |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 15963 Quantico Rd, Apple Valley, California |
| Authorized Official Name and Position | Ravi Ashok Patel (CEO AND PRESIDENT) |
| Authorized Official Contact | 7602424810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nins 15963 Quantico Rd Suite C, Apple Valley CA 92307-0839 Ph: (760) 242-4810 | Nins 15963 Quantico Rd Suite C, Apple Valley CA 92307-0839 Ph: (760) 242-4810 |
| NPI Number | 1194093229 |
|---|---|
| Provider Enumeration Date | 12/04/2011 |
| Last Update Date | 08/30/2012 |
| Medicare PECOS PAC ID | 1052572948 |
|---|---|
| Medicare Enrollment ID | O20120420000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194093229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A115902 (California) | Primary |
| Provider Name | Ravi A Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962667790 PECOS PAC ID: 5294850244 Enrollment ID: I20120423000021 |
| Provider Name | Veena Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942528286 PECOS PAC ID: 0143483917 Enrollment ID: I20120515000716 |
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