Individual
DR. DHIRENDRA JASHBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 GAIL GARDNER WAY, PRESCOTT, AZ 86305-1690
(928) 776-1040
(928) 776-1041
Mailing address
1760 E RIVER RD STE 350, TUCSON, AZ 85718-5999
(520) 519-7775
(520) 519-7910
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
17169
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275132
—
AZ
01
—
920002679
RR MEDICARE
AZ
01
—
AZ0347980
BCBS
AZ
Enumeration date
10/12/2005
Last updated
09/16/2019
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