Provider Demographics
NPI:1942528286
Name:PATEL, VEENA (MBBS)
Entity Type:Individual
Prefix:DR
First Name:VEENA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:DR
Other - First Name:VEENA
Other - Middle Name:
Other - Last Name:YASHASWI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS
Mailing Address - Street 1:PO BOX 1685
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92393-1685
Mailing Address - Country:US
Mailing Address - Phone:315-560-2132
Mailing Address - Fax:760-242-4760
Practice Address - Street 1:15963 QUANTICO RD
Practice Address - Street 2:SUITE C
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-0839
Practice Address - Country:US
Practice Address - Phone:760-242-4810
Practice Address - Fax:760-242-4760
Is Sole Proprietor?:No
Enumeration Date:2010-05-11
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1174542084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGA861ZMedicare PIN