Individual
DHERAIN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2505 W HAMMER LN, STOCKTON, CA 95209-2839
(209) 957-7050
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(855) 771-0335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A158029
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2016
Last updated
03/11/2020
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