Provider Demographics
NPI:1023180643
Name:PATEL, DHRUVESH JAYANTKUMAR (DC)
Entity Type:Individual
Prefix:DR
First Name:DHRUVESH
Middle Name:JAYANTKUMAR
Last Name:PATEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 WASHINGTON AVE N
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55401-1330
Mailing Address - Country:US
Mailing Address - Phone:612-455-2920
Mailing Address - Fax:612-455-2921
Practice Address - Street 1:800 WASHINGTON AVE N
Practice Address - Street 2:SUITE 103
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55401-1330
Practice Address - Country:US
Practice Address - Phone:612-455-2920
Practice Address - Fax:612-455-2921
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3747111N00000X
WI3583111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor