Provider Demographics
NPI:1851336184
Name:PATEL, BIREN M (MD)
Entity Type:Individual
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First Name:BIREN
Middle Name:M
Last Name:PATEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1890 E FLORENCE BLVD
Mailing Address - Street 2:STE 6
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122
Mailing Address - Country:US
Mailing Address - Phone:520-421-2565
Mailing Address - Fax:520-421-0921
Practice Address - Street 1:1890 E FLORENCE BLVD
Practice Address - Street 2:STE 6
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-1745
Practice Address - Country:US
Practice Address - Phone:520-421-2565
Practice Address - Fax:520-421-0921
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2010-12-15
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Provider Licenses
StateLicense IDTaxonomies
AZ35069208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZI54415Medicare UPIN