Individual
SHAKUNTALA SACHIN PATIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22555 ALESSANDRO BLVD STE B, MORENO VALLEY, CA 92553-8533
(951) 656-7081
(951) 656-1710
Mailing address
3660 PARK SIERRA DR STE 203, RIVERSIDE, CA 92505-3071
(951) 687-3400
(951) 687-7630
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
125062971
IL
207RN0300X
Nephrology Physician
2018020741
MO
207RN0300X
Nephrology Physician
Primary
368453
CA
Other
Enumeration date
06/29/2013
Last updated
09/10/2025
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