Sandip Patel MD PLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

41789 Issued in AZ

Legal business name

SANDIP PATEL MD PLC

Practice address

15021 W Bell Rd
Ste. 100
Surprise, AZ 85374-3916

Phone

(623) 249-5617

Fax

(623) 398-6791

NPI assigned

Jun 16, 2010

Organization subpart

No

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

Authorized official

Name

Sandip G Patel, MD

Title

Owner/Physician

Phone

(623) 249-5617

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1811218670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26926 N 55TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850837345",
            "telephone_number": "623-249-5617",
            "fax_number": "623-398-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15021 W BELL RD",
            "address_2": "STE. 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743916",
            "telephone_number": "623-249-5617",
            "fax_number": "623-398-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIP PATEL MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SANDIP",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "623-249-5617",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "41789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "531690",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.