MEDICARE: DR. MAHESHKUMAR HIRABHAI PATEL DDS

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	122300000X	Dentist	2770	NV

General Provider Information

NPI Number	:	1205956216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAHESHKUMAR HIRABHAI PATEL DDS

Provider Business Mailing Address
First Line	:	2694 AFRICAN VIOLET AVE
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-1959
Country	:	US
Telephone Number	:	702-897-5399
Fax Number	:

Provider Business Practice Location Address
First Line	:	770 E WARM SPRINGS RD
Second Line	:	SUITE 220
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4333
Country	:	US
Telephone Number	:	702-837-8977
Fax Number	:

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

Provider Enumeration Date	:	03/31/2007
Last Update Date	:	07/08/2007

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