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Organization

SUDITI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUJAY L PATEL DO (PHYSICIAN)
(702) 401-4202
Entity
Organization

Contact information

Practice address
3100 N TENAYA WAY, LAS VEGAS, NV 89128-0436
(702) 401-4202
Mailing address
2505 ANTHEM VILLAGE DR, SUITE E-134, HENDERSON, NV 89052-5505
(702) 401-4202

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO01457
NV

Other

Enumeration date
01/28/2009
Last updated
01/28/2009
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