Healthcare Provider Details

I. General information

NPI: 1134219660
Provider Name (Legal Business Name): HANSA PATEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANSA PATEL MD

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 34TH ST
BAKERSFIELD CA
93301-2208
US

IV. Provider business mailing address

622 34TH STREET
BAKERSFIELD CA
93301
US

V. Phone/Fax

Practice location:
  • Phone: 661-328-1213
  • Fax: 661-328-9900
Mailing address:
  • Phone: 661-328-1213
  • Fax: 661-328-9900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License NumberA30290
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: