Healthcare Provider Details

I. General information

NPI: 1508354499
Provider Name (Legal Business Name): MIDHAT PATEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2018
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 N DOBSON RD STE 201
SCOTTSDALE AZ
85256-2770
US

IV. Provider business mailing address

755 E MCDOWELL RD FL 2
PHOENIX AZ
85006-2506
US

V. Phone/Fax

Practice location:
  • Phone: 480-733-7400
  • Fax:
Mailing address:
  • Phone: 602-521-3086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35.147721
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number73424
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: