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NPI Code Detail

MEDICARE: DR. SANJAY PATEL DDS

MEDICARE:  DR. SANJAY  PATEL  DDS
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
1122300000XDentist38113CA

General Provider Information

NPI Number : 1891876272
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANJAY PATEL DDS
Provider Business Mailing Address
First Line : 538 BAILEY RD
Second Line :
City : BAY POINT
State : CA
Zip : 94565-4304
Country : US
Telephone Number : 925-709-0200
Fax Number : 925-709-2040
Provider Business Practice Location Address
First Line : 538 BAILEY RD
Second Line :
City : BAY POINT
State : CA
Zip : 94565-4304
Country : US
Telephone Number : 925-709-0200
Fax Number : 925-709-2040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 07/08/2007

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Directions to “ DR. SANJAY PATEL DDS” Practice Location

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