MEDICARE: SHEILA A PATEL M.D.

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	207Q00000X	Family Medicine Physician	43833	WI
2	208D00000X	General Practice Physician	A55639	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	080181679	OTHER	WI	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	78B99BR	OTHER	WI	ATRIUM COMMERCIAL
2	HP67023	OTHER	WI	HEALTH PARTNERS
3	13047	OTHER	WI	DEAN HEALTH PLAN
4	2104049	OTHER	WI	FIRST HEALTH
5	39092953816	OTHER	WI	UNITY - HILLSBORO CLINIC
7	1038474	OTHER	WI	PHYSICIAN'S PLUS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	2026	OTHER	WI	MMSI
10	39092953811	OTHER	WI	UNITY - ELROY CLINIC
11	8918066P01	OTHER	WI	CIGNA

General Provider Information

NPI Number	:	1720089329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA A PATEL M.D.

Provider Business Mailing Address
First Line	:	7093 HERON CIR
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92011-3975
Country	:	US
Telephone Number	:	760-814-2045
Fax Number	:

Provider Business Practice Location Address
First Line	:	4002 VISTA WAY
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-4506
Country	:	US
Telephone Number	:	760-814-2045
Fax Number	:

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

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	12/02/2010

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Directions to “ SHEILA A PATEL M.D.” Practice Location

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