Provider Demographics
NPI:1811459316
Name:PATEL, EMIL RAJ (DO)
Entity type:Individual
Prefix:DR
First Name:EMIL
Middle Name:RAJ
Last Name:PATEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2535 S DOWNING ST STE 410
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5851
Mailing Address - Country:US
Mailing Address - Phone:303-260-2740
Mailing Address - Fax:303-260-2741
Practice Address - Street 1:2535 S DOWNING ST STE 410
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5851
Practice Address - Country:US
Practice Address - Phone:303-260-2740
Practice Address - Fax:303-260-2741
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COTL.0007625390200000X
CODR.0064914207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program