Individual
DR. AMIKSHA S PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3975 JACKSON ST, SUITE # 203, RIVERSIDE, CA 92503-3901
(951) 689-6889
(951) 689-6462
Mailing address
436 GREEN ORCHARD PL, RIVERSIDE, CA 92506-7590
(951) 750-2260
(951) 689-6462
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A 78581
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
A78581
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A 78581
STATE LICENSE
CA
01
—
B9534082
DRIVERS LIC #
CA
Enumeration date
07/06/2006
Last updated
03/07/2023
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