Provider Demographics
NPI:1487093175
Name:PATEL, SARAH NILUKA (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:NILUKA
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5620 W THUNDERBIRD RD STE B3
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-4638
Mailing Address - Country:US
Mailing Address - Phone:602-206-6262
Mailing Address - Fax:602-235-0296
Practice Address - Street 1:5620 W THUNDERBIRD RD STE B3
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-4638
Practice Address - Country:US
Practice Address - Phone:602-206-6262
Practice Address - Fax:602-206-0296
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ52274207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ52274OtherARIZONA STATE LICENSE
AZ272786Medicaid