Provider Demographics
NPI:1275757841
Name:PATEL, AMY RAMESH (DO)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:RAMESH
Last Name:PATEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7436 E MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-9338
Mailing Address - Country:US
Mailing Address - Phone:480-325-9600
Mailing Address - Fax:
Practice Address - Street 1:8997 E DESERT COVE AVE FL 1
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6742
Practice Address - Country:US
Practice Address - Phone:480-325-9600
Practice Address - Fax:480-493-5336
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7157207P00000X
MI5101017012207PE0004X
AZ005485207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services