Individual
DR. SAMIR PURUSOTTAM PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12480 N RANCHO VISTOSO BLVD, STE 180, ORO VALLEY, AZ 85755-1994
(520) 742-4008
Mailing address
12480 N RANCHO VISTOSO BLVD, STE 180, ORO VALLEY, AZ 85755-1994
(520) 742-4008
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
OS 9750
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4425
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275925000
—
FL
Enumeration date
06/29/2006
Last updated
02/15/2019
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