Provider Demographics
NPI:1598735201
Name:PATEL, DIPTI J (MD)
Entity Type:Individual
Prefix:
First Name:DIPTI
Middle Name:J
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14420 W MEEKER BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-5288
Mailing Address - Country:US
Mailing Address - Phone:623-388-3188
Mailing Address - Fax:623-322-7891
Practice Address - Street 1:14420 W MEEKER BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-5288
Practice Address - Country:US
Practice Address - Phone:623-388-3188
Practice Address - Fax:623-322-7891
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ15419207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ166090OtherPTAN
AZP00603896OtherMEDICARE RAILROAD#
AZZ121595Medicare PIN
AZ173089Medicaid