Individual
DR. SUBHASH REDDY PATIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.B.B.S, MS
Contact information
Practice address
1201 ALHAMBRA BLVD STE 410, SACRAMENTO, CA 95816-5243
(916) 887-2980
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(855) 771-0335
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
R0307
TX
207RB0002X
Obesity Medicine (Internal Medicine) Physician
A119540
CA
208600000X
Surgery Physician
Primary
A119540
CA
2086S0127X
Trauma Surgery Physician
4301093223
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122735
—
OH
Enumeration date
01/12/2009
Last updated
07/07/2023
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