Individual
AMOL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1799 MOUNT MARIAH DR, LAS VEGAS, NV 89106-1501
(702) 383-1961
Mailing address
13432 WASHINGTON BLVD, VENICE, CA 90292-5626
(310) 819-0536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23986
NV
Other
Enumeration date
04/06/2020
Last updated
08/16/2023
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