Healthcare Provider Details

I. General information

NPI: 1740473933
Provider Name (Legal Business Name): NARESHKUMAR G PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 08/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6112 NW 63RD ST
OKLAHOMA CITY OK
73132-7526
US

IV. Provider business mailing address

6112 NW 63RD ST
OKLAHOMA CITY OK
73132-7526
US

V. Phone/Fax

Practice location:
  • Phone: 404-722-9500
  • Fax: 405-722-9516
Mailing address:
  • Phone: 404-722-9500
  • Fax: 405-722-9516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number14640
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: