Individual
NITIN C PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3185 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2240
(928) 759-7009
(928) 759-7041
Mailing address
PO BOX 26529, PRESCOTT VALLEY, AZ 86312-6529
(928) 759-7009
(928) 759-7041
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24382
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060055885
RAILROAD MEDICARE
—
01
—
AZ0861240
BCBS AZ
AZ
Enumeration date
06/21/2006
Last updated
03/30/2015
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