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NPI Code Detail

MEDICARE: MITTUN C PATEL MD

MEDICARE: MITTUN C PATEL MD
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
12085P0229XPediatric Radiology PhysicianE-18006AR
22085R0202XDiagnostic Radiology Physician45805AZ
32085P0229XPediatric Radiology Physician45805AZ
42085R0202XDiagnostic Radiology PhysicianE-18006AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033366463
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITTUN C PATEL MD
Provider Business Mailing Address
First Line : 3200 E CAMELBACK RD STE 250
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-2327
Country : US
Telephone Number : 602-933-1814
Fax Number : 602-933-1820
Provider Business Practice Location Address
First Line : 1919 E THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-7710
Country : US
Telephone Number : 602-933-1213
Fax Number : 602-933-1214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2008
Last Update Date : 05/01/2026

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