Individual
NISHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20940 N TATUM BLVD STE 300, PHOENIX, AZ 85050-7273
(480) 607-0060
Mailing address
3190 N SWAN RD, TUCSON, AZ 85712-1227
(520) 547-9700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
58719
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45513
USMLE
PA
Enumeration date
06/18/2012
Last updated
06/29/2023
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