Individual
DR. SANDIP ARVIND PATIDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 S AUBURN STREET, KENNEWICK, WA 99336-5621
(509) 586-5945
(509) 586-5178
Mailing address
PO BOX 1441, AMARILLO, TX 79105-1441
(866) 972-9247
(509) 586-5178
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
50536
CO
2085R0202X
Diagnostic Radiology Physician
A84061
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00044796
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A840610
—
CA
01
—
1063463784
BC/BS OF CO
CO
05
—
155584903
—
TX
05
—
29527261
—
CO
01
—
7660338
AETNA
TX
05
—
8434086
—
WA
01
—
8W0413
BCBS-TX
TX
01
—
P00438460
MEDICARE RAILROAD
TX
Enumeration date
05/15/2006
Last updated
01/20/2012
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