Healthcare Provider Details

I. General information

NPI: 1992047575
Provider Name (Legal Business Name): MIHIR PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2013
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N CALIFORNIA ST
STOCKTON CA
95204-6019
US

IV. Provider business mailing address

1800 N CALIFORNIA ST
STOCKTON CA
95204-6019
US

V. Phone/Fax

Practice location:
  • Phone: 209-943-2000
  • Fax: 209-461-3295
Mailing address:
  • Phone: 209-943-2000
  • Fax: 209-461-3295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA153627
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: