Provider Demographics
NPI:1437184777
Name:PATEL, SUNIT RATILAL (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNIT
Middle Name:RATILAL
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:PO BOX 2778
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95344-0778
Mailing Address - Country:US
Mailing Address - Phone:209-384-9400
Mailing Address - Fax:209-384-8300
Practice Address - Street 1:3389 G ST STE B
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-0964
Practice Address - Country:US
Practice Address - Phone:209-384-9400
Practice Address - Fax:209-384-8300
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA49191174400000X, 207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A491910Medicaid
CAZZZ27942ZMedicare PIN
CAOOA491911Medicare UPIN
CAOOA491910Medicare UPIN
CA00A491910Medicaid