Healthcare Provider Details

I. General information

NPI: 1578472288
Provider Name (Legal Business Name): RAKESH R. PATEL, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

940 LUNDY LN
LOS ALTOS CA
94024-5940
US

IV. Provider business mailing address

940 LUNDY LN
LOS ALTOS CA
94024-5940
US

V. Phone/Fax

Practice location:
  • Phone: 608-347-3405
  • Fax:
Mailing address:
  • Phone: 608-347-3405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAKESH PATEL
Title or Position: CEO
Credential: MD
Phone: 608-347-3405