Provider Demographics
NPI:1659412666
Name:PATEL, NARESH GOVINDBHAI (MD)
Entity Type:Individual
Prefix:
First Name:NARESH
Middle Name:GOVINDBHAI
Last Name:PATEL
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 1:201 REDLANDS AVE
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92571-2600
Mailing Address - Country:US
Mailing Address - Phone:951-940-6695
Mailing Address - Fax:
Practice Address - Street 1:201 REDLANDS AVE
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92571-2600
Practice Address - Country:US
Practice Address - Phone:951-940-6695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-11
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC429592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C429590Medicare ID - Type Unspecified
CAF86502Medicare UPIN