Healthcare Provider Details

I. General information

NPI: 1609154418
Provider Name (Legal Business Name): TARPAN RAJNIKANT PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2011
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14418 W MEEKER BLVD # B-105
SUN CITY WEST AZ
85375-5283
US

IV. Provider business mailing address

14418 W MEEKER BLVD # B-105
SUN CITY WEST AZ
85375-5283
US

V. Phone/Fax

Practice location:
  • Phone: 623-974-3649
  • Fax: 623-974-8364
Mailing address:
  • Phone: 623-974-3649
  • Fax: 623-974-8364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number63204
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number63204
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: