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NPI Code Detail

MEDICARE: NIRAV PATEL MD

MEDICARE: NIRAV 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
1207Q00000XFamily Medicine PhysicianMD419312PA
2207Q00000XFamily Medicine PhysicianC52899CA
3207Q00000XFamily Medicine PhysicianMD60140025WA

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 : 1215977202
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIRAV PATEL MD
Provider Business Mailing Address
First Line : 955 POWELL AVE SW
Second Line :
City : RENTON
State : WA
Zip : 98057-2908
Country : US
Telephone Number : 425-277-1311
Fax Number : 425-277-1566
Provider Business Practice Location Address
First Line : 200 S 2ND ST
Second Line :
City : RENTON
State : WA
Zip : 98057-2011
Country : US
Telephone Number : 425-226-5536
Fax Number : 425-226-0354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 01/15/2025

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Directions to “ NIRAV PATEL MD” Practice Location

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