Individual
RAJNIKANT T PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14420 W MEEKER BLVD STE 203, SUN CITY WEST, AZ 85375-5288
(623) 547-7654
(623) 547-7645
Mailing address
14420 W MEEKER BLVD STE 203, SUN CITY WEST, AZ 85375-5288
(623) 547-7654
(623) 547-7645
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35169
AZ
207RI0011X
Interventional Cardiology Physician
Primary
35169
AZ
207RI0011X
Interventional Cardiology Physician
K8809
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146788
—
AZ
01
—
35169
AZ MEDICAL LICENSE
AZ
01
—
Z213557
MEDICARE
AZ
Enumeration date
05/11/2006
Last updated
09/15/2018
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