Healthcare Provider Details

I. General information

NPI: 1184559817
Provider Name (Legal Business Name): D P PATEL MD MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 S OAK AVE
OAKDALE CA
95361-3519
US

IV. Provider business mailing address

113 MAHOGANY LN
UNION CITY CA
94587-8012
US

V. Phone/Fax

Practice location:
  • Phone: 307-421-2593
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DHAIRYASHEEL PATEL
Title or Position: PRESIDENT
Credential: MD
Phone: 307-421-2593