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General NPI Number Information
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NPI Number | 1821210048
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Entity Type | Organization
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Legal Business Name | DHIRENDRA J. PATEL, MD, PC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 12/01/2009
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Provider Practice Location Address
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Address Line | 1100 GAIL GARDNER WAY
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City | PRESCOTT
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State | AZ
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Zip | 86305-1690
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Country | US
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Telephone | 928-776-1040
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Fax | 928-776-1041
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Provider Business Mailing Address
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Address Line | PO BOX 10050
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City | MANHATTAN BEACH
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State | CA
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Zip | 90267-7550
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Country | US
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Telephone | 310-335-4056
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Fax | 310-335-4098
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. DHIRENDRA JASHBHAI PATEL
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Credential | M.D
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Telephone | 928-776-1040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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