Provider Demographics
NPI:1114299617
Name:PATEL, DIPTI DEVENDRAKUMAR (MD)
Entity type:Individual
Prefix:
First Name:DIPTI
Middle Name:DEVENDRAKUMAR
Last Name:PATEL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 35380
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-5380
Mailing Address - Country:US
Mailing Address - Phone:626-462-1884
Mailing Address - Fax:626-254-8258
Practice Address - Street 1:440 E HUNTINGTON DR STE 200
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3775
Practice Address - Country:US
Practice Address - Phone:626-462-1884
Practice Address - Fax:626-254-8258
Is Sole Proprietor?:No
Enumeration Date:2012-01-31
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY269949-1207R00000X, 204R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic Medicine
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine