Provider Demographics
NPI:1154414357
Name:PATEL, GEETA (MD)
Entity type:Individual
Prefix:DR
First Name:GEETA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 N ARCHIBALD AVE STE L
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91764-4647
Mailing Address - Country:US
Mailing Address - Phone:909-989-7551
Mailing Address - Fax:909-945-5427
Practice Address - Street 1:750 N ARCHIBALD AVE STE L
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-4647
Practice Address - Country:US
Practice Address - Phone:909-989-7551
Practice Address - Fax:909-945-5427
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA97439207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology