Provider Demographics
NPI:1265764385
Name:SOLANKI, MINAL PATEL (LAC)
Entity type:Individual
Prefix:
First Name:MINAL
Middle Name:PATEL
Last Name:SOLANKI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:MINAL
Other - Middle Name:RAMESH
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:18372 VINEYARD RD
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-1250
Mailing Address - Country:US
Mailing Address - Phone:408-209-4808
Mailing Address - Fax:
Practice Address - Street 1:126 2ND AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3841
Practice Address - Country:US
Practice Address - Phone:650-242-5936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-01
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13206171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist