| Divya V Patel Md Inc | |
|
16003 Tuscola Rd Ste H Apple Valley CA 92307-0825 | |
| (760) 963-7802 | |
| Not Available |
| Full Name | Divya V Patel Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16003 Tuscola Rd Ste H, Apple Valley, California |
| Authorized Official Name and Position | Divya Patel (PRESIDENT) |
| Authorized Official Contact | 7609637802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Divya V Patel Md Inc 9468 Svl Box Victorville CA 92395-5151 Ph: (760) 963-7802 | Divya V Patel Md Inc 16003 Tuscola Rd Ste H Apple Valley CA 92307-0825 Ph: (760) 963-7802 |
| NPI Number | 1447966916 |
|---|---|
| Provider Enumeration Date | 01/27/2023 |
| Last Update Date | 02/16/2023 |
| Medicare PECOS PAC ID | 5395117691 |
|---|---|
| Medicare Enrollment ID | O20230215000861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447966916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Divya V Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215591409 PECOS PAC ID: 2860886306 Enrollment ID: I20230221002793 |
High Desert Osteopathic Medical Care A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16017 Tuscola Rd, Suite E, Apple Valley, CA 92307 Phone: 760-946-1776 Fax: 760-946-1668 | |
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