Provider Demographics
NPI:1205114899
Name:PATEL, AJAY MOHAN (MD)
Entity type:Individual
Prefix:DR
First Name:AJAY
Middle Name:MOHAN
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13578
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93389-3578
Mailing Address - Country:US
Mailing Address - Phone:661-443-0088
Mailing Address - Fax:
Practice Address - Street 1:8337 BRIMHALL RD BLDG 1200
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-4405
Practice Address - Country:US
Practice Address - Phone:661-443-0088
Practice Address - Fax:661-443-0087
Is Sole Proprietor?:No
Enumeration Date:2011-07-29
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA117724207RC0000X, 207RI0011X
IL036.139833207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease