Healthcare Provider Details

I. General information

NPI: 1073515078
Provider Name (Legal Business Name): NINA PATEL-HINKLE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 04/23/2024
Certification Date: 04/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10484 W THUNDERBIRD BLVD STE 100
SUN CITY AZ
85351-6019
US

IV. Provider business mailing address

18444 N 25TH AVE STE 210
PHOENIX AZ
85023-1264
US

V. Phone/Fax

Practice location:
  • Phone: 866-974-2673
  • Fax: 866-939-2673
Mailing address:
  • Phone: 866-974-2673
  • Fax: 866-939-2673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number004187
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number004187
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: