| Dr Prakashchandra Patel Md Inc A Professional Corporation | |
|
315 N 3rd Ave Ste 306 Covina CA 91723-1916 | |
| (626) 332-1815 | |
| (626) 966-9685 |
| Full Name | Dr Prakashchandra Patel Md Inc A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 315 N 3rd Ave Ste 306, Covina, California |
| Authorized Official Name and Position | Prakashchandra T Patel (PRESIDENT) |
| Authorized Official Contact | 6263321815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Prakashchandra Patel Md Inc A Professional Corporation 315 N 3rd Ave Ste 306 Covina CA 91723-1916 Ph: (626) 332-1815 | Dr Prakashchandra Patel Md Inc A Professional Corporation 315 N 3rd Ave Ste 306 Covina CA 91723-1916 Ph: (626) 332-1815 |
| NPI Number | 1639497019 |
|---|---|
| Provider Enumeration Date | 05/11/2010 |
| Last Update Date | 05/11/2010 |
| Medicare PECOS PAC ID | 3375672017 |
|---|---|
| Medicare Enrollment ID | O20100519000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639497019 | NPI | - | NPPES |
| MEDICARE # | Other | CA | A34471 |
| NPI | Other | CA | 1902987613 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A034471 (California) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | A034471 (California) | Secondary |
| Provider Name | Prakashchandra T Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902987613 PECOS PAC ID: 4284763921 Enrollment ID: I20100519000010 |
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