Provider Demographics
NPI:1831552843
Name:PATEL, MIRAL NEEL (PT)
Entity type:Individual
Prefix:
First Name:MIRAL
Middle Name:NEEL
Last Name:PATEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MIRAL
Other - Middle Name:Y
Other - Last Name:AKHANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:330 CRESCENT VILLAGE CIRCLE
Mailing Address - Street 2:APT 1217
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134
Mailing Address - Country:US
Mailing Address - Phone:630-487-9339
Mailing Address - Fax:
Practice Address - Street 1:2737 WALSH AVENUE
Practice Address - Street 2:ALLIANCE OCCUPATIONAL MEDICINE
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051
Practice Address - Country:US
Practice Address - Phone:408-228-8400
Practice Address - Fax:408-228-8401
Is Sole Proprietor?:No
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41286225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist