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Organization

DR PRAKASHCHANDRA PATEL MD INC A PROFESSIONAL CORPORATION

Active
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Organization

DR PRAKASHCHANDRA PATEL MD INC A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PRAKASHCHANDRA T PATEL M.D (PRESIDENT)
(626) 332-1815
Entity
Organization

Contact information

Practice address
315 N 3RD AVE STE 306, COVINA, CA 91723-1916
(626) 332-1815
(626) 966-9685
Mailing address
315 N 3RD AVE STE 306, COVINA, CA 91723-1916
(626) 332-1815
(626) 966-9685

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A034471
CA
207RC0000X
Cardiovascular Disease Physician
A034471
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MEDICARE #
A34471
CA
01
—
NPI
1902987613
CA
Enumeration date
05/11/2010
Last updated
05/11/2010
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