MEDICARE: DAVE RAJENDRA PATEL

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	207RI0200X	Infectious Disease Physician	A173554	CA
2	208M00000X	Hospitalist Physician	A173554	CA
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1053816751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVE RAJENDRA PATEL

Provider Business Mailing Address
First Line	:	39000 BOB HOPE DR
Second Line	:
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-3221
Country	:	US
Telephone Number	:	760-340-3911
Fax Number	:	760-837-8956

Provider Business Practice Location Address
First Line	:	1180 N INDIAN CANYON DR STE W400
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4868
Country	:	US
Telephone Number	:	760-416-4821
Fax Number	:	760-416-4731

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2018
Last Update Date	:	01/23/2026

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Directions to “ DAVE RAJENDRA PATEL ” Practice Location

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