Healthcare Provider Details

I. General information

NPI: 1457035701
Provider Name (Legal Business Name): VIKRAM R PATEL MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 01/30/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1083 LOS PALOS DR
SALINAS CA
93901-3916
US

IV. Provider business mailing address

416B MAIN ST
SALINAS CA
93901-3306
US

V. Phone/Fax

Practice location:
  • Phone: 831-424-8888
  • Fax: 831-424-8889
Mailing address:
  • Phone: 831-800-7887
  • Fax: 831-998-7155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: VIKRAM R PATEL
Title or Position: PRESIDENT
Credential: MD
Phone: 831-800-7887