MEDICARE: ANIT B. 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	207R00000X	Internal Medicine Physician	A76092	CA
2	207RP1001X	Pulmonary Disease Physician	A76092	CA

General Provider Information

NPI Number	:	1982646154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANIT B. PATEL M.D.

Provider Business Mailing Address
First Line	:	10470 OLD PLACERVILLE RD
Second Line	:	SUITE 100
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-2539
Country	:	US
Telephone Number	:	855-771-0335
Fax Number	:

Provider Business Practice Location Address
First Line	:	2720 LOW CT
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94534-9771
Country	:	US
Telephone Number	:	707-428-2769
Fax Number	:	707-436-2507

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

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	06/15/2016

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