Provider Demographics
NPI:1790973204
Name:PATEL, SAPNA P (MD)
Entity Type:Individual
Prefix:DR
First Name:SAPNA
Middle Name:P
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 N GAREY AVE
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-2708
Mailing Address - Country:US
Mailing Address - Phone:909-622-1235
Mailing Address - Fax:909-622-1960
Practice Address - Street 1:1920 N GAREY AVE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-2708
Practice Address - Country:US
Practice Address - Phone:909-622-1235
Practice Address - Fax:909-622-1960
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-10
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA56443208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics