Organization
SURENDRA PATEL MD, LLC
Active
Other names
Surendra Patel, MD
Organization subpart
No
Provider details
NPI number
Authorized official
SURENDRA M PATEL M.D. (OWNER)
(559) 440-1110
Entity
Organization
Contact information
Practice address
5680 N FRESNO ST, SUITE 101, FRESNO, CA 93710-8331
(559) 440-1110
(559) 440-1114
Mailing address
5680 N FRESNO ST, SUITE 101, FRESNO, CA 93710-8331
(559) 440-1110
(559) 440-1114
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A50956
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A509560
—
CA
Enumeration date
04/11/2011
Last updated
03/04/2013
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