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NPI Code Detail

MEDICARE: NISHA PATEL DO

MEDICARE: NISHA PATEL DO
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
1207QS1201XSleep Medicine (Family Medicine) Physician5101028712MI
2207QS1201XSleep Medicine (Family Medicine) Physician012001AZ

General Provider Information

NPI Number : 1356917710
Entity Type Code : Individual
Provider Name (Legal Business Name) : NISHA PATEL DO
Provider Business Mailing Address
First Line : 1530 E WILLIAMS FIELD RD STE 204
Second Line :
City : GILBERT
State : AZ
Zip : 85295-1825
Country : US
Telephone Number : 480-745-3547
Fax Number : 480-745-3548
Provider Business Practice Location Address
First Line : 1530 E WILLIAMS FIELD RD STE 204
Second Line :
City : GILBERT
State : AZ
Zip : 85295-1825
Country : US
Telephone Number : 480-745-3547
Fax Number : 480-745-3548
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2021
Last Update Date : 06/02/2026

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Directions to “ NISHA PATEL DO” Practice Location

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