Healthcare Provider Details

I. General information

NPI: 1396197687
Provider Name (Legal Business Name): VINOD B PATEL MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2016
Last Update Date: 07/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9874 E DREYFUS AVE
SCOTTSDALE AZ
85260-4466
US

IV. Provider business mailing address

9874 E DREYFUS AVE
SCOTTSDALE AZ
85260-4466
US

V. Phone/Fax

Practice location:
  • Phone: 480-860-0157
  • Fax: 623-915-2099
Mailing address:
  • Phone: 480-860-0157
  • Fax: 623-915-2099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number14971
License Number StateAZ

VIII. Authorized Official

Name: DR. VINOD PATEL
Title or Position: DIRECTOR
Credential: MD
Phone: 480-860-0157