Provider Demographics
NPI:1942258918
Name:PATEL, VINUS K (DO)
Entity Type:Individual
Prefix:DR
First Name:VINUS
Middle Name:K
Last Name:PATEL
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:5055 E BROADWAY BLVD
Mailing Address - Street 2:STE A-100 ARIZONA COMMUNITY PHYSICIANS PC
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3640
Mailing Address - Country:US
Mailing Address - Phone:520-327-0460
Mailing Address - Fax:520-795-0225
Practice Address - Street 1:5920 N LACHOLLA BLVD
Practice Address - Street 2:STE 150 J&J MEDICAL
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704
Practice Address - Country:US
Practice Address - Phone:520-547-5836
Practice Address - Fax:520-547-5841
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2012-02-09
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Provider Licenses
StateLicense IDTaxonomies
AZ3731207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ84758OtherPTAN
AZZ84758OtherPTAN