Individual
MR. PALAK JITENDRA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
97825 SHOPPING CENTER AVE, BROOKINGS, OR 97415-9403
(707) 412-9800
(707) 412-9600
Mailing address
PO BOX 2742, HARBOR, OR 97415-0326
(541) 412-9800
(541) 412-9600
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
142046
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD176416
OR
Other
Enumeration date
05/15/2012
Last updated
03/17/2018
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