Healthcare Provider Details

I. General information

NPI: 1952764359
Provider Name (Legal Business Name): VIHARKUMAR PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2016
Last Update Date: 09/19/2022
Certification Date: 09/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 V ST
SACRAMENTO CA
95817-1445
US

IV. Provider business mailing address

4400 V ST
SACRAMENTO CA
95817-1445
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-5069
  • Fax:
Mailing address:
  • Phone: 559-362-7841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZN0500X
TaxonomyNeuropathology Physician
License Number641622
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number6334
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: