Healthcare Provider Details

I. General information

NPI: 1497713267
Provider Name (Legal Business Name): SADANAND I PATIL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 N ROSE AVE STE 470
OXNARD CA
93030-7659
US

IV. Provider business mailing address

1700 N ROSE AVE STE 470
OXNARD CA
93030-7659
US

V. Phone/Fax

Practice location:
  • Phone: 805-988-7080
  • Fax: 805-988-7081
Mailing address:
  • Phone: 805-988-7080
  • Fax: 805-988-7081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberE5594
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number41888
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number19711
License Number StateMS
# 4
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberC190724
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: