Individual
MITESH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 SOTOYOME ST, SANTA ROSA, CA 95405-4823
(707) 546-4062
(707) 525-4095
Mailing address
PO BOX 5651, ORANGE, CA 92863-5651
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
94-08734
KS
2085R0202X
Diagnostic Radiology Physician
Primary
A173818
CA
Other
Enumeration date
06/18/2015
Last updated
09/09/2021
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