Individual
NIKITA MOHAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1655 DALIDIO DR UNIT 3151, SAN LUIS OBISPO, CA 93403-7007
(805) 316-0698
Mailing address
1655 DALIDIO DR UNIT 3151, SAN LUIS OBISPO, CA 93403-7007
(805) 316-0698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60871
CO
207R00000X
Internal Medicine Physician
A143360
CA
207R00000X
Internal Medicine Physician
C1-0029077
DE
207R00000X
Internal Medicine Physician
MD2019-0933
NM
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
60871
CO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
A143360
CA
207RR0500X
Rheumatology Physician
Primary
A143360
CA
207RR0500X
Rheumatology Physician
C1-0029077
DE
Other
Enumeration date
05/27/2014
Last updated
02/13/2026
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