Provider Demographics
NPI:1184706384
Name:PATEL, MEENAL V (MD)
Entity type:Individual
Prefix:DR
First Name:MEENAL
Middle Name:V
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 1:4410 W UNION HILLS DR # 7-280
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-1660
Mailing Address - Country:US
Mailing Address - Phone:623-974-6611
Mailing Address - Fax:
Practice Address - Street 1:4410 W UNION HILLS DR # 7-280
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1660
Practice Address - Country:US
Practice Address - Phone:623-974-6611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ32504207RI0200X
GUMC-230207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1891831228OtherGROUP NPI
AZ906620Medicaid
AZAZ0763740OtherBLUE CROSS/SHIELD ID
AZI07947Medicare UPIN
AZAZ0763740OtherBLUE CROSS/SHIELD ID
AZ906620Medicaid