Healthcare Provider Details

I. General information

NPI: 1568496198
Provider Name (Legal Business Name): ACHIT B PATEL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 E TANGERINE RD ATTN MEDICAL STAFF SERVICES
ORO VALLEY AZ
85755
US

IV. Provider business mailing address

ORO VALLEY ANESTHESIA PLLC DEPT 9538
LOS ANGELES CA
90084-9538
US

V. Phone/Fax

Practice location:
  • Phone: 520-901-3559
  • Fax: 520-901-3642
Mailing address:
  • Phone: 520-529-0313
  • Fax: 520-901-3642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number4352
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number8480
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: