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Individual

DR. RAVI ASHOK PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MBA, FACP, FAHA

Contact information

Practice address
15963 QUANTICO RD, SUITE C, APPLE VALLEY, CA 92307-0839
(760) 242-4810
(760) 242-4760
Mailing address
PO BOX 1685, VICTORVILLE, CA 92393-1685
(760) 242-4810
(760) 242-4760

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
253406
NY
2084N0400X
Neurology Physician
Primary
A115902
CA
2084V0102X
Vascular Neurology Physician
253406
NY
2084V0102X
Vascular Neurology Physician
A115902
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000533016001
HEALTHNOW
NY
01
110322000063
FIDELIS
NY
01
1962667790
MVP
NY
01
200223508001
CDPHP
NY
01
26-1147857
MULTIPLAN/PHCS
NY
01
261147857
EMPIRE UHC
NY
05
3307884
NY
01
9701688
AETNA
NY
01
BA1319
MEDICARE
NY
01
J400040884
MEDICARE
NY
Enumeration date
07/21/2008
Last updated
05/24/2012
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