MEDICARE: MAHENDRA CHHITUBHAI 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	207R00000X	Internal Medicine Physician	A42501	CA

General Provider Information

NPI Number	:	1700758638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAHENDRA CHHITUBHAI PATEL MD

Provider Business Mailing Address
First Line	:	5610 JENSEN RD
Second Line	:
City	:	CASTRO VALLEY
State	:	CA
Zip	:	94552-5014
Country	:	US
Telephone Number	:	650-400-2546
Fax Number	:

Provider Business Practice Location Address
First Line	:	5610 JENSEN RD
Second Line	:
City	:	CASTRO VALLEY
State	:	CA
Zip	:	94552-5014
Country	:	US
Telephone Number	:	650-400-2546
Fax Number	:

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

Provider Enumeration Date	:	09/20/2025
Last Update Date	:	09/20/2025

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