MEDICARE: MR. SUDHIR B PATEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080N0001X	Neonatal-Perinatal Medicine Physician	A49606	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790851921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SUDHIR B PATEL MD

Provider Business Mailing Address
First Line	:	3801 SAN DIMAS #B
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93301
Country	:	US
Telephone Number	:	661-631-2229
Fax Number	:	661-631-2638

Provider Business Practice Location Address
First Line	:	1830 FLOWER ST
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93305-4144
Country	:	US
Telephone Number	:	661-326-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	07/08/2007

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