Individual
DR. GAUTTAM N. PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7867 HAZELNUT DR, CORONA, CA 92880-3505
(951) 817-3007
Mailing address
7867 HAZELNUT DR, CORONA, CA 92880-3505
(951) 818-7202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A84802
CA
208D00000X
General Practice Physician
Primary
A84802
CA
Other
Enumeration date
07/30/2007
Last updated
01/03/2017
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