Provider Demographics
NPI:1659540599
Name:PATEL, VALLARI S (MD)
Entity Type:Individual
Prefix:
First Name:VALLARI
Middle Name:S
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:39700 BOB HOPE DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-3267
Mailing Address - Country:US
Mailing Address - Phone:760-834-3545
Mailing Address - Fax:760-834-3546
Practice Address - Street 1:39700 BOB HOPE DR
Practice Address - Street 2:SUITE 108
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3267
Practice Address - Country:US
Practice Address - Phone:760-834-3545
Practice Address - Fax:760-834-3546
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2016-02-29
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Provider Licenses
StateLicense IDTaxonomies
NY255589207RI0200X
CAA124784207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00695940Medicaid
NY00695940Medicaid
NYG100000410Medicare Oscar/Certification