Provider Demographics
NPI:1558659441
Name:PATEL, CHINTAN PANKAJ (MD ,MPH)
Entity Type:Individual
Prefix:DR
First Name:CHINTAN
Middle Name:PANKAJ
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD ,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 E HALF HITCH PL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-6502
Mailing Address - Country:US
Mailing Address - Phone:410-302-5956
Mailing Address - Fax:
Practice Address - Street 1:16427 N SCOTTSDALE RD STE 100
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-8197
Practice Address - Country:US
Practice Address - Phone:480-718-5072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AZ56407207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program