Provider Demographics
NPI:1437860467
Name:PATEL, JUHI
Entity type:Individual
Prefix:
First Name:JUHI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2655 HENLEY PKWY UNIT 8612
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95377-2241
Mailing Address - Country:US
Mailing Address - Phone:912-223-4784
Mailing Address - Fax:
Practice Address - Street 1:1431 MCHENRY AVE STE 100
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-4534
Practice Address - Country:US
Practice Address - Phone:209-579-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-12
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN316766163W00000X
CA95424789163W00000X
GAGA316766363LW0102X
CA95036138363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse