Individual
PERSEUS VISTASP PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A159562
CA
2080P0206X
Pediatric Gastroenterology Physician
Primary
A159562
CA
Other
Enumeration date
04/05/2017
Last updated
10/23/2024
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