Patel, Samir Purusottam

Patel, Samir Purusottam is an individual health care provider with primary practice located at 12480 N Rancho Vistoso Blvd Ste 180, Oro Valley AZ 85755-1994. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Patel, Samir Purusottam can be contacted via phone (520) 742-4008.

Contact Information

Primary practice address
12480 N Rancho Vistoso Blvd Ste 180 Oro Valley AZ 85755-1994
Phone: (520) 742-4008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X OS 9750 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 4425 Arizona

Profile Details

NPI number 1184652125
LBN Legal business name Patel, Samir Purusottam
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Feb 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184652125 NPPES
Florida MEDICAID 275925000

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