Provider Demographics
NPI:1801823026
Name:PATEL, NIRAJA T (DO)
Entity Type:Individual
Prefix:
First Name:NIRAJA
Middle Name:T
Last Name:PATEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:PO BOX 5199
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79608-5199
Mailing Address - Country:US
Mailing Address - Phone:325-437-8300
Mailing Address - Fax:325-437-8399
Practice Address - Street 1:1150 S FOREST
Practice Address - Street 2:#334
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85287-1012
Practice Address - Country:US
Practice Address - Phone:480-965-6147
Practice Address - Fax:480-965-3426
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ43992084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry