Provider Demographics
NPI:1518386606
Name:PATEL, HASITA (MD)
Entity Type:Individual
Prefix:DR
First Name:HASITA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8573 E SAN ALBERTO STE E100
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4612
Mailing Address - Country:US
Mailing Address - Phone:480-778-1732
Mailing Address - Fax:480-778-1709
Practice Address - Street 1:8573 E SAN ALBERTO STE E100
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4612
Practice Address - Country:US
Practice Address - Phone:480-778-1732
Practice Address - Fax:480-778-1709
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0083749208000000X
390200000X
AZ60422208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program