Healthcare Provider Details

I. General information

NPI: 1043122831
Provider Name (Legal Business Name): KARAN PATEL DO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4045 E BELL RD STE 134
PHOENIX AZ
85032-2234
US

IV. Provider business mailing address

4045 E BELL RD STE 134
PHOENIX AZ
85032-2234
US

V. Phone/Fax

Practice location:
  • Phone: 602-432-7025
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: KARAN HARSHAD PATEL
Title or Position: OWNER
Credential: DO
Phone: 602-432-7025