Individual
SHAYNA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10480 SERRA ST, CUPERTINO, CA 95014-6581
(714) 913-0801
Mailing address
10480 SERRA ST, CUPERTINO, CA 95014-6581
(714) 913-0801
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1149962
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/06/2019
Last updated
12/11/2020
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