Healthcare Provider Details

I. General information

NPI: 1225070345
Provider Name (Legal Business Name): ANAND NATVARLAL PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 06/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7801 MISSION CENTER CT STE 250
SAN DIEGO CA
92108-1314
US

IV. Provider business mailing address

7801 MISSION CENTER CT STE 250
SAN DIEGO CA
92108-1314
US

V. Phone/Fax

Practice location:
  • Phone: 619-738-5566
  • Fax:
Mailing address:
  • Phone: 619-385-5667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number37293
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number144194
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: