Healthcare Provider Details

I. General information

NPI: 1609578400
Provider Name (Legal Business Name): KARAN HARSHAD PATEL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2023
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 Number012663
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: