# SANJAY R PATEL MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629371414
- **Authorized official:** SANJAY R PATEL M.D. (PRESIDENT)
- **Authorized official phone:** (602) 889-9880

## Contact information

- **Practice address:** 3330 N 2ND ST, SUITE 200, PHOENIX, AZ 85012-2368
- **Practice address phone:** (602) 889-9880
- **Practice address fax:** (480) 304-9328
- **Mailing address:** PO BOX 27340, PHOENIX, AZ 85061-7340
- **Mailing address phone:** (602) 943-9200
- **Mailing address fax:** (602) 216-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2010
- **Last updated:** 12/16/2010