Provider Demographics
NPI:1427480524
Name:PATEL, SAMISH AMIT (MD)
Entity type:Individual
Prefix:DR
First Name:SAMISH
Middle Name:AMIT
Last Name:PATEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:440 N MOUNTAIN AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-5183
Mailing Address - Country:US
Mailing Address - Phone:909-931-4034
Mailing Address - Fax:909-931-2477
Practice Address - Street 1:440 N MOUNTAIN AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-5183
Practice Address - Country:US
Practice Address - Phone:909-931-4034
Practice Address - Fax:909-931-2477
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-31
Last Update Date:2021-10-28
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Provider Licenses
StateLicense IDTaxonomies
CAA142858207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine