MEDICARE: DR. AMAR 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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	55375	CO

General Provider Information

NPI Number	:	1922310119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMAR PATEL MD

Provider Business Mailing Address
First Line	:	7913 ALLISON WAY STE 201
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80005-4450
Country	:	US
Telephone Number	:	303-286-5067
Fax Number	:	303-991-9953

Provider Business Practice Location Address
First Line	:	9351 GRANT ST STE 490
Second Line	:
City	:	THORNTON
State	:	CO
Zip	:	80229-4365
Country	:	US
Telephone Number	:	303-286-5067
Fax Number	:	303-991-9953

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

Provider Enumeration Date	:	07/05/2010
Last Update Date	:	11/17/2020

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