Organization
PRADIP PATEL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRADIP PATEL M.D. (OWNER)
(602) 481-7087
Entity
Organization
Contact information
Practice address
16230 N 7TH LN, PHOENIX, AZ 85023-3599
(602) 481-7087
Mailing address
17100 N 67TH AVENUE, 602, GLENDALE, AZ 85308-3607
(602) 978-5005
(602) 978-1115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460121
—
AZ
Enumeration date
11/01/2012
Last updated
01/25/2013
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