Provider Demographics
NPI:1760535470
Name:PATEL, ALPA ARVIND (OD)
Entity Type:Individual
Prefix:DR
First Name:ALPA
Middle Name:ARVIND
Last Name:PATEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3459 W 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-3103
Mailing Address - Country:US
Mailing Address - Phone:303-433-5820
Mailing Address - Fax:303-433-5869
Practice Address - Street 1:3459 W 32ND AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3103
Practice Address - Country:US
Practice Address - Phone:303-433-5820
Practice Address - Fax:303-433-5869
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOPT1757152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COU64117Medicare UPIN