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Individual
PINTU PATEL
Active
Individual
PINTU PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA17016
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EFF 7/19/13 FONTANA
—
CA
05
—
EFF 9/6/13-N.RIVERSI
—
CA
05
—
EFF.9/6/13-MORENOVAL
—
CA
05
—
EFF.9/6/13-SORIVERSI
—
CA
05
—
EFF: 2/20/2013
—
CA
05
—
EFF: 7/13/15-COLTON
—
CA
05
—
EFF: 7/19/13 RIALTO
—
CA
05
—
EFF:1/1/12-VICTORVIL
—
CA
01
—
P01288550/ DU4034
RAILROAD MEDICARE- SAN BERNARDINO
CA
01
—
P01520352 - DU5182
RR MEDICARE - COLTON & VICTORVILLE
CA
01
—
PA17016
MEDI-CAL
CA
05
—
PA17016
—
CA
Enumeration date
01/05/2007
Last updated
11/30/2021
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