1699933317 NPI number — DR. NAMAN BHAILAL PATEL DDS

Table of content: DR. NAMAN BHAILAL PATEL DDS (NPI 1699933317)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699933317 NPI number — DR. NAMAN BHAILAL PATEL DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PATEL
Provider First Name:
NAMAN
Provider Middle Name:
BHAILAL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PATEL
Provider Other First Name:
NAMAN
Provider Other Middle Name:
BHAILAL
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DDS
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1699933317
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/29/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1489 W ELLIOT RD STE 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GILBERT
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85233-5168
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-507-9400
Provider Business Mailing Address Fax Number:
480-507-9474

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1489 W ELLIOT RD
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
GILBERT
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85233-5168
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-507-9400
Provider Business Practice Location Address Fax Number:
480-507-9474
Provider Enumeration Date:
05/29/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  7184 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)