Provider Demographics
NPI:1255777439
Name:PATEL, HEMANSHU R (MD)
Entity type:Individual
Prefix:DR
First Name:HEMANSHU
Middle Name:R
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:19111 TOWN CENTER DR
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92308-8989
Mailing Address - Country:US
Mailing Address - Phone:760-242-7777
Mailing Address - Fax:888-847-5757
Practice Address - Street 1:1890 W MAIN ST STE 110
Practice Address - Street 2:
Practice Address - City:BARSTOW
Practice Address - State:CA
Practice Address - Zip Code:92311-3726
Practice Address - Country:US
Practice Address - Phone:760-256-1422
Practice Address - Fax:760-255-1066
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2022-11-07
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Provider Licenses
StateLicense IDTaxonomies
CAA143699207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine