Provider Demographics
NPI:1932583853
Name:PATEL, AMI (MD)
Entity Type:Individual
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First Name:AMI
Middle Name:
Last Name:PATEL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 2120
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-2120
Mailing Address - Country:US
Mailing Address - Phone:541-274-3278
Mailing Address - Fax:541-274-3275
Practice Address - Street 1:3001 DAGGETT AVE STE 101
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-1126
Practice Address - Country:US
Practice Address - Phone:541-274-3278
Practice Address - Fax:541-274-3275
Is Sole Proprietor?:No
Enumeration Date:2015-07-10
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR208542207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology