Provider Demographics
NPI:1386682177
Name:PATEL, SANGEETA HITESH
Entity Type:Individual
Prefix:DR
First Name:SANGEETA
Middle Name:HITESH
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:SANGEETA
Other - Middle Name:HITESH
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:13372 NEWPORT AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3426
Mailing Address - Country:US
Mailing Address - Phone:714-544-3430
Mailing Address - Fax:714-573-8330
Practice Address - Street 1:13372 NEWPORT AVE
Practice Address - Street 2:SUITE B
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3426
Practice Address - Country:US
Practice Address - Phone:714-544-3430
Practice Address - Fax:714-573-8330
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA49867208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics