Healthcare Provider Details

I. General information

NPI: 1285570341
Provider Name (Legal Business Name): GRISHMA PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 E 31ST ST
OAKLAND CA
94602-1018
US

IV. Provider business mailing address

1935 EASTCHESTER RD APT 22E
BRONX NY
10461-2157
US

V. Phone/Fax

Practice location:
  • Phone: 510-437-4267
  • Fax:
Mailing address:
  • Phone: 760-514-2295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: