Provider Demographics
NPI:1326302191
Name:PATEL, NIRAJ (MD)
Entity Type:Individual
Prefix:
First Name:NIRAJ
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 GILMAN DR
Mailing Address - Street 2:DIVISION OF GASTROENTEROLOGY & HEPATOLOGY
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-0956
Mailing Address - Country:US
Mailing Address - Phone:619-543-2347
Mailing Address - Fax:
Practice Address - Street 1:DIVISION OF GASTROENTEROLOGY & HEPATOLOGY
Practice Address - Street 2:9500 GILMAN DRIVE
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-0956
Practice Address - Country:US
Practice Address - Phone:619-543-2347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-27
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program