Healthcare Provider Details

I. General information

NPI: 1861116634
Provider Name (Legal Business Name): AKASH MUKESHKUMAR PATEL DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2022
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 N 11TH AVE
HANFORD CA
93230-4590
US

IV. Provider business mailing address

1040 N CHERRY ST
TULARE CA
93274-2251
US

V. Phone/Fax

Practice location:
  • Phone: 559-772-3418
  • Fax:
Mailing address:
  • Phone: 559-686-1773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDDS107401
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: