Provider Demographics
NPI:1497713267
Name:PATIL, SADANAND I (MD)
Entity Type:Individual
Prefix:
First Name:SADANAND
Middle Name:I
Last Name:PATIL
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 1:6501 TRUXTUN AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-0633
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6501 TRUXTUN AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0633
Practice Address - Country:US
Practice Address - Phone:661-322-2206
Practice Address - Fax:661-327-7027
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE5594207RH0003X
MS19711207RH0003X
TN41888207RH0003X, 207RH0003X
CAC190724207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00282586Medicaid
AR164556001Medicaid
TN3833959Medicaid
8323533OtherAETNA
IN200475940Medicaid
TN4148030OtherBCBS TN
AR1497713267OtherBCBS AR
8247332OtherCIGNA
AR1497713267OtherBCBS AR
MS00282586Medicaid
AR5H177Medicare PIN
MSP00468200Medicare PIN
MS830002500Medicare PIN
TN3833959Medicare PIN
OH2465792Medicaid
MS00282586Medicaid
AR5H177Medicare PIN
AR1497713267OtherBCBS AR