MEDICARE: SAMIT 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
1	207Q00000X	Family Medicine Physician	125064027	IL
2	207Q00000X	Family Medicine Physician	C172437	CA

General Provider Information

NPI Number	:	1144661083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMIT PATEL MD

Provider Business Mailing Address
First Line	:	PO BOX 588500
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95758-8500
Country	:	US
Telephone Number	:	916-691-0389
Fax Number	:

Provider Business Practice Location Address
First Line	:	8260 LONGLEAF DR
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95758-1322
Country	:	US
Telephone Number	:	916-691-6065
Fax Number	:

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

Provider Enumeration Date	:	07/08/2013
Last Update Date	:	06/22/2026

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Directions to “ SAMIT PATEL MD” Practice Location

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