Provider Demographics
NPI:1922264779
Name:ADVANCED ENDOCRINOLOGY AND METABOLISM, P.C.
Entity Type:Organization
Organization Name:ADVANCED ENDOCRINOLOGY AND METABOLISM, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DINESHKUMAR
Authorized Official - Middle Name:H
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACC
Authorized Official - Phone:602-787-1830
Mailing Address - Street 1:3811 E BELL RD
Mailing Address - Street 2:SUITE# 200
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2138
Mailing Address - Country:US
Mailing Address - Phone:602-787-1830
Mailing Address - Fax:
Practice Address - Street 1:3811 E BELL RD
Practice Address - Street 2:SUITE# 200
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2138
Practice Address - Country:US
Practice Address - Phone:602-787-1830
Practice Address - Fax:602-787-1835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ191271Medicaid
AZAZ0825160OtherBLUE CROSS BLUE SHIELD
AZAZ0825160OtherBLUE CROSS BLUE SHIELD
AZ223819Medicare Oscar/Certification