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Organization
PRANJAL PATEL MD INC
Active
Organization
PRANJAL PATEL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRANJAL H PATEL MD (PRESIDENT OF CORPORATION)
(209) 836-3967
Entity
Organization
Contact information
Practice address
1530 BESSIE AVE, SUITE 105, TRACY, CA 95376-3080
(209) 836-3967
(209) 836-0626
Mailing address
1530 BESSIE AVE, SUITE 105, TRACY, CA 95376-3080
(209) 836-3967
(209) 836-0626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A116600
CA
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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