Pradip Patel Md Pc | |
16230 N 7th Ln Phoenix AZ 85023-3599 | |
(602) 481-7087 | |
Not Available |
Full Name | Pradip Patel Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 16230 N 7th Ln, Phoenix, Arizona |
Authorized Official Name and Position | Pradip Patel (OWNER) |
Authorized Official Contact | 6024817087 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Pradip Patel Md Pc 17100 N 67th Avenue 602 Glendale AZ 85308-3607 Ph: (602) 978-5005 | Pradip Patel Md Pc 16230 N 7th Ln Phoenix AZ 85023-3599 Ph: (602) 481-7087 |
NPI Number | 1073867842 |
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Provider Enumeration Date | 11/01/2012 |
Last Update Date | 01/25/2013 |
Medicare PECOS PAC ID | 5597900035 |
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Medicare Enrollment ID | O20130403000636 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073867842 | NPI | - | NPPES |
460121 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Arizona) | Primary |
Provider Name | Pradipkumar K Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578506465 PECOS PAC ID: 9931392891 Enrollment ID: I20101022001336 |
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