Organization
KUNJ GOVIND PATEL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUNJ GOVIND PATEL MD (DIRECTOR)
(314) 282-7246
Entity
Organization
Contact information
Practice address
95 W 11TH ST STE 10395W11, TRACY, CA 95376-3959
(415) 754-3549
Mailing address
DPT 2110, 20500 BELSHAW AVE, CARSON, CA 90746-3506
(415) 754-3549
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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