Individual
DR. PRADIPKUMAR K PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17100 N 67TH AVE, 602, GLENDALE, AZ 85308-3605
(602) 978-5005
(602) 978-1115
Mailing address
17100 N 67TH AVE, GLENDALE, AZ 85308-3605
(602) 978-5005
(602) 978-1115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23394
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23394
ARIZONA LICENSE
AZ
Enumeration date
06/14/2006
Last updated
01/25/2013
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