Individual
NISHITA SOMABHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
795 E 2ND ST STE 5, POMONA, CA 91766-2007
(909) 706-8332
(909) 706-3785
Mailing address
795 E. SECOND STREET, SUITE 5, POMONA, CA 91766-2007
(909) 706-8332
(909) 706-3785
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A113143
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO139Y
MEDICARE SOUTHERN CALIFORNIA
CA
01
—
DP139Z
MEDICARE NORTHERN CALIFORNIA
CA
Enumeration date
06/30/2005
Last updated
07/21/2022
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