Provider Demographics
NPI:1588955835
Name:PATEL, TRISHABEN C (MD)
Entity type:Individual
Prefix:
First Name:TRISHABEN
Middle Name:C
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5475 E LA PALMA AVE
Mailing Address - Street 2:STE 202
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-2022
Mailing Address - Country:US
Mailing Address - Phone:949-396-0501
Mailing Address - Fax:714-829-3404
Practice Address - Street 1:5475 E LA PALMA AVE
Practice Address - Street 2:STE 202
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-2022
Practice Address - Country:US
Practice Address - Phone:949-396-0501
Practice Address - Fax:714-829-3404
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA125677208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program