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Organization
DHIRENDRA J. PATEL, MD, PC
Active
Organization
DHIRENDRA J. PATEL, MD, PC
Active
Other names
NORTHERN ARIZONA TUMOR INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHIRENDRA JASHBHAI PATEL M.D (DIRECTOR)
(928) 776-1040
Entity
Organization
Contact information
Practice address
1100 GAIL GARDNER WAY, PRESCOTT, AZ 86305-1690
(928) 776-1040
(928) 776-1041
Mailing address
PO BOX 10050, MANHATTAN BEACH, CA 90267-7550
(310) 335-4056
(310) 335-4098
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396955
—
AZ
Enumeration date
05/03/2007
Last updated
12/01/2009
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