Active NPI
Pravin T. Patel, M.D., P.C.
- Internal Medicine Physician
- Sun City, AZ
National Provider Identifier
1467563544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 24029
- Legal business name
- PRAVIN T. PATEL, M.D., P.C.
- Practice address
- 13000 N 103Rd Ave
79
Sun City, AZ 85351-3024 - Phone
- (623) 972-8794
- Fax
- (623) 815-2699
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pravin T Patel, M.D.
- Title
- MD
- Phone
- (623) 972-8794
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24029 | AZ | Primary |
Addresses
Primary practice location
13000 N 103Rd Ave
79
Sun City, AZ 85351-3024
Mailing address
13000 N 103Rd Ave
79
Sun City, AZ 85351-3024
Phone (623) 972-8794
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 551649 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
5700 W Olive Ave
Ste 108
Glendale, AZ 85302
Phone (623) 842-3077
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Glendale, AZ
- NPI 1265472757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260748800000",
"number": "1467563544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13000 N 103RD AVE",
"address_2": "79",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513024",
"telephone_number": "623-972-8794",
"fax_number": "623-815-2699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13000 N 103RD AVE",
"address_2": "79",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513024",
"telephone_number": "623-972-8794",
"fax_number": "623-815-2699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRAVIN T. PATEL, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2009-12-14",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "PRAVIN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "623-972-8794",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AZ",
"license": "24029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "551649",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.