Provider Demographics
NPI:1538703541
Name:PATEL, ARJUN (OD)
Entity Type:Individual
Prefix:DR
First Name:ARJUN
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1495 E TUCSON MARKETPLACE BLVD
Mailing Address - Street 2:STE 161
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713-0047
Mailing Address - Country:US
Mailing Address - Phone:520-221-4373
Mailing Address - Fax:520-200-5769
Practice Address - Street 1:1495 E TUCSON MARKETPLACE BLVD STE 161
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-0045
Practice Address - Country:US
Practice Address - Phone:520-221-4373
Practice Address - Fax:520-200-5769
Is Sole Proprietor?:No
Enumeration Date:2019-11-01
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOPT-002396152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist