Patel, Dhirendra Jashbhai
Patel, Dhirendra Jashbhai is an individual health care provider with primary practice located at 1100 Gail Gardner Way , Prescott AZ 86305-1690. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Patel, Dhirendra Jashbhai can be contacted via phone (928) 776-1040.Contact Information
Primary practice address
1100 Gail Gardner Way
Prescott AZ 86305-1690
Phone: (928) 776-1040
Fax: (928) 776-1041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 17169 | Arizona |
Profile Details
| NPI number | 1790773893 |
|---|---|
| LBN Legal business name | Patel, Dhirendra Jashbhai |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Sep 16th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790773893 | NPPES |
| Arizona | Other | AZ0347980 | BCBS |
| Arizona | Other | 920002679 | BCBS |
| Arizona | MEDICAID | 275132 | BCBS |
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