Provider Demographics
NPI:1093959785
Name:PATEL, SANJAY GOVIND (MD)
Entity Type:Individual
Prefix:DR
First Name:SANJAY
Middle Name:GOVIND
Last Name:PATEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:920 STANTON L YOUNG BLVD # WP3150
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5036
Mailing Address - Country:US
Mailing Address - Phone:405-271-6966
Mailing Address - Fax:405-271-3118
Practice Address - Street 1:800 NE 10TH ST STE 4300
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5418
Practice Address - Country:US
Practice Address - Phone:405-271-4088
Practice Address - Fax:405-271-4099
Is Sole Proprietor?:No
Enumeration Date:2009-04-24
Last Update Date:2018-01-11
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Provider Licenses
StateLicense IDTaxonomies
OK31657208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology