MEDICARE: ANIL PATEL MEDICAL REHABILITATION PC

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	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1649401191
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANIL PATEL MEDICAL REHABILITATION PC

Provider Business Mailing Address
First Line	:	8576 W LAKE MEAD BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-7630
Country	:	US
Telephone Number	:	702-255-3003
Fax Number	:	702-255-8133

Provider Business Practice Location Address
First Line	:	8576 W LAKE MEAD BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-7630
Country	:	US
Telephone Number	:	702-255-3003
Fax Number	:	702-255-8133

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANIL PATEL
Credential	:	MD
Telephone Number	:	702-255-3003

Provider Enumeration Date	:	07/31/2009
Last Update Date	:	03/03/2010

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