Healthcare Provider Details

I. General information

NPI: 1992768519
Provider Name (Legal Business Name): RAKESH R PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15400 NATIONAL AVE SUITE 100
LOS GATOS CA
95032-2433
US

IV. Provider business mailing address

940 LUNDY LN
LOS ALTOS CA
94024-5940
US

V. Phone/Fax

Practice location:
  • Phone: 408-358-8400
  • Fax: 408-358-2793
Mailing address:
  • Phone: 608-347-3405
  • Fax: 408-358-2793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberA105289
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberA105289
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberA105289
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: