Provider Demographics
NPI:1114512498
Name:NILESH N. PATEL MD INC
Entity Type:Organization
Organization Name:NILESH N. PATEL MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:NILESH
Authorized Official - Middle Name:N
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-914-1514
Mailing Address - Street 1:216 S CITRUS ST STE 393
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91791-2144
Mailing Address - Country:US
Mailing Address - Phone:626-914-1514
Mailing Address - Fax:626-914-1505
Practice Address - Street 1:130 W ROUTE 66 STE 302
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-6252
Practice Address - Country:US
Practice Address - Phone:626-914-1514
Practice Address - Fax:626-914-1505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty