Provider Demographics
NPI:1265532287
Name:PATEL, MILAN (MD)
Entity type:Individual
Prefix:DR
First Name:MILAN
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3075 RED ARROW DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-1625
Mailing Address - Country:US
Mailing Address - Phone:702-388-1300
Mailing Address - Fax:702-255-2945
Practice Address - Street 1:2660 CRIMSON CANYON DR
Practice Address - Street 2:SUITE 130
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0845
Practice Address - Country:US
Practice Address - Phone:702-388-1300
Practice Address - Fax:702-255-2945
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV10210207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002018708Medicaid
NV002018708Medicaid
NVV36520Medicare PIN