Basic Information
| Provider Information | |||||||||
| NPI: | 1851552293 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | NINA | ||||||||
| MiddleName: | AMRUT | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3003 N CENTRAL | ||||||||
| Address2: | STE 400,AKDHC, LLC | ||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850124801 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3320 N 2ND STREET | ||||||||
| Address2: | AKDHC, LLC | ||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85044 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6022008288 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2008 | ||||||||
| LastUpdateDate: | 06/21/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 174400000X | IN | N | Other Service Providers | Specialist | 207RN0300X | 42206 | AZ | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.