Provider Demographics
NPI:1215030226
Name:PATEL, NAGIN C (MD)
Entity type:Individual
Prefix:DR
First Name:NAGIN
Middle Name:C
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6351 N PLACITA ARISTA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-3419
Mailing Address - Country:US
Mailing Address - Phone:520-305-3579
Mailing Address - Fax:520-305-3581
Practice Address - Street 1:6522 E CARONDELET
Practice Address - Street 2:SUITE B
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-2200
Practice Address - Country:US
Practice Address - Phone:520-886-8239
Practice Address - Fax:520-885-1705
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8632208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ020018129OtherMEDICARE RAILROAD
AZ40733670098OtherME#
AZ21441101Medicaid
AZ86031593585710A001OtherTRICARE
AZ0479159OtherAETNA
AZ860315935007OtherCIGNA
AZ86031593500OtherPACIFICARE
AZAZ0055900OtherBCBS
AZ21441101Medicaid