| Surendra Patel Md, Inc | |
|
5680 N Fresno St Suite 101 Fresno CA 93710-8331 | |
| (559) 440-1110 | |
| (559) 440-1114 |
| Full Name | Surendra Patel Md, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5680 N Fresno St, Fresno, California |
| Authorized Official Name and Position | Surendra Motibhai Patel (CEO) |
| Authorized Official Contact | 5594401110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surendra Patel Md, Inc 5680 N Fresno St Suite 101 Fresno CA 93710-8331 Ph: (559) 440-1110 | Surendra Patel Md, Inc 5680 N Fresno St Suite 101 Fresno CA 93710-8331 Ph: (559) 440-1110 |
| NPI Number | 1982067062 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 10/30/2021 |
| Medicare PECOS PAC ID | 0840589842 |
|---|---|
| Medicare Enrollment ID | O20160513001911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982067062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A50956 (California) | Primary |
| Provider Name | Surendra M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346203973 PECOS PAC ID: 9931170750 Enrollment ID: I20040804001528 |
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