Provider Demographics
NPI:1477640852
Name:PATEL, URVASHI (PT)
Entity Type:Individual
Prefix:
First Name:URVASHI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 WALNUT AVE
Mailing Address - Street 2:SUN PHYSICAL THERAPY
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2275
Mailing Address - Country:US
Mailing Address - Phone:510-742-9580
Mailing Address - Fax:510-742-8374
Practice Address - Street 1:3800 WALNUT AVE
Practice Address - Street 2:SUN PHYSICAL THERAPY
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2275
Practice Address - Country:US
Practice Address - Phone:510-742-9580
Practice Address - Fax:510-742-8374
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 21357174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0PT213570Medicare PIN