MEDICARE: PATEL PHYSIATRY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1023686631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATEL PHYSIATRY, PLLC

Provider Business Mailing Address
First Line	:	2650 N WYATT DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-6106
Country	:	US
Telephone Number	:	520-325-1300
Fax Number	:	520-322-6182

Provider Business Practice Location Address
First Line	:	2650 N WYATT DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-6108
Country	:	US
Telephone Number	:	520-325-1300
Fax Number	:	520-322-6182

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DISHA R PATEL
Credential	:	DO
Telephone Number	:	978-551-3427

Provider Enumeration Date	:	06/11/2021
Last Update Date	:	03/25/2026

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