Basic Information
| Provider Information | |||||||||
| NPI: | 1518099654 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | NAYAN | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9755 N 90TH ST STE A205 | ||||||||
| Address2: | |||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852585079 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4806142215 | ||||||||
| FaxNumber: | 4806142218 | ||||||||
| Practice Location | |||||||||
| Address1: | 9755 N 90TH ST STE A205 | ||||||||
| Address2: | |||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852585079 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4806142215 | ||||||||
| FaxNumber: | 4806142218 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/12/2007 | ||||||||
| LastUpdateDate: | 10/13/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/13/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RT0003X | 5030 | AZ | N | Allopathic & Osteopathic Physicians | Internal Medicine | Transplant Hepatology | 207RG0100X | 5030 | AZ | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No ID Information.