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General NPI Number Information
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NPI Number | 1215164108
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Entity Type | Individual
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Provider Name | SHONAK BIPIN PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 505 NE 87TH AVE STE 301
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City | VANCOUVER
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State | WA
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Zip | 98664-1965
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Country | US
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Telephone | 360-514-1854
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Fax | 360-514-6063
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Provider Business Mailing Address
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Address Line | PO BOX 11982
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City | PENSACOLA
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State | FL
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Zip | 32524-1982
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Country | US
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Telephone | 850-479-1805
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Fax | 850-479-1829
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MD70090989
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | ME115476
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License Number State | FL
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