Provider Demographics
NPI:1396197687
Name:VINOD B PATEL MD PC
Entity Type:Organization
Organization Name:VINOD B PATEL MD PC
Other - Org Name:SLEEP MEDICINE MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VINOD
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-860-0157
Mailing Address - Street 1:9874 E DREYFUS AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-4466
Mailing Address - Country:US
Mailing Address - Phone:480-860-0157
Mailing Address - Fax:623-915-2099
Practice Address - Street 1:9874 E DREYFUS AVE
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-4466
Practice Address - Country:US
Practice Address - Phone:480-860-0157
Practice Address - Fax:623-915-2099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ149712084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZD44351Medicare UPIN