Organization
DHIRENDRA J. PATEL, MD, PC
Active
Other names
NORTHERN ARIZONA TUMOR INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHIRENDRA JASHBHAI PATEL M.D (DIRECTOR)
(928) 776-1040
Entity
Organization
Contact information
Practice address
1100 GAIL GARDNER WAY, PRESCOTT, AZ 86305-1690
(928) 776-1040
(928) 776-1041
Mailing address
PO BOX 10050, MANHATTAN BEACH, CA 90267-7550
(310) 335-4056
(310) 335-4098
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396955
—
AZ
Enumeration date
05/03/2007
Last updated
12/01/2009
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