Organization Active NPI

Shantilal D Patel MD PLLC

  • Internal Medicine Physician
  • Sun City, AZ
National Provider Identifier
1649460882
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26577 Issued in AZ
Legal business name
SHANTILAL D PATEL MD PLLC
Practice address
13000 N 103Rd Ave
Ste 79
Sun City, AZ 85351-3024
Phone
(623) 815-2424
Fax
(623) 815-2699
NPI assigned
Jul 25, 2007
Organization subpart
Yes
Parent organization
SHANTILAL D PATEL MD PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shantilal D Patel, MDNPI 1316941248
Title
Owner/Physician
Phone
(623) 815-2424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 26577 AZ Primary

Addresses

Primary practice location

13000 N 103Rd Ave
Ste 79
Sun City, AZ 85351-3024

Mailing address

13000 N 103Rd Ave
Ste 79
Sun City, AZ 85351-3024
Phone (623) 815-2424

National Provider Directory

National Provider Directory
Part of
Shantilal D Patel MD PLLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1649460882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 N 103RD AVE",
            "address_2": "STE 79",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513024",
            "telephone_number": "623-815-2424",
            "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": "STE 79",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513024",
            "telephone_number": "623-815-2424",
            "fax_number": "623-815-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANTILAL D PATEL MD PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHANTILAL D PATEL MD PLLC",
        "enumeration_date": "2007-07-25",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHANTILAL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "623-815-2424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "26577",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.