SURENDRA PATEL MD LLC NPI 1104116201

NPI Information

NPI: 1104116201
Provider Name: SURENDRA PATEL MD, LLC

Former Legal Business Name: SURENDRA PATEL, MD

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
5680 N FRESNO ST
SUITE 101
FRESNO, CA
ZIP 93710
Phone: (559) 440-1110
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SURENDRA PATEL MD, LLC is a primary care clinic center in Fresno, CA. SURENDRA PATEL MD, LLC NPI is 1104116201. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Surendra Patel, Md.

The provider's business location address is:

5680 N FRESNO ST
SUITE 101
FRESNO, CA
ZIP 93710-331
Phone: (559) 440-1110
Fax: (559) 440-1114

The provider's authorized official is Surendra M Patel .
The authorized official title is Owner and has the following contact phone number (559) 440-1110.

The enumeration date for this NPI number is 4/11/2011 and was last updated on 3/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	A50956	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F53223	MEDICARE UPIN	CALIFORNIA
2	00A509560	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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