Individual
DR. RAJ S PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 N ESTRELLA PKWY, SUITE 20, GOODYEAR, AZ 85338-9272
(623) 298-4642
(623) 925-9193
Mailing address
750 N ESTRELLA PKWY, SUITE 20, GOODYEAR, AZ 85338-9272
(623) 298-4642
(623) 925-9193
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34296
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
957615
—
AZ
Enumeration date
11/17/2005
Last updated
06/07/2010
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