Provider Demographics
NPI:1679231872
Name:PATEL, SWIKAR
Entity Type:Individual
Prefix:
First Name:SWIKAR
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 S COUNTRY CLUB DR APT 2
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-4104
Mailing Address - Country:US
Mailing Address - Phone:561-318-9068
Mailing Address - Fax:
Practice Address - Street 1:623 S COUNTRY CLUB DR APT 2
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-4104
Practice Address - Country:US
Practice Address - Phone:561-318-9068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-04
Last Update Date:2021-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ21-1670175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath