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VIPUL JASHBHAI PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 W THOMAS RD, SUITE 500, PHOENIX, AZ 85013-4224
(602) 406-4000
(602) 406-6498
Mailing address
FILE 56765, LOS ANGELES, CA 90074-6765
(602) 406-3860
(602) 406-6132

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
245307
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
48323
AZ
207RP1001X
Pulmonary Disease Physician
01070064A
IN
207RP1001X
Pulmonary Disease Physician
48323
AZ
207RP1001X
Pulmonary Disease Physician
A104012
CA
207RP1001X
Pulmonary Disease Physician
Primary
ME111434
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000724265
ANTHEM PROVIDER NUMBER
IN
05
004292700
FL
05
201029110
IN
Enumeration date
07/27/2007
Last updated
08/06/2014
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