Provider Demographics
NPI:1922310119
Name:PATEL, AMAR (MD)
Entity type:Individual
Prefix:DR
First Name:AMAR
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7913 ALLISON WAY STE 201
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-4450
Mailing Address - Country:US
Mailing Address - Phone:303-286-5067
Mailing Address - Fax:303-991-9953
Practice Address - Street 1:9351 GRANT ST STE 490
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4365
Practice Address - Country:US
Practice Address - Phone:303-286-5067
Practice Address - Fax:303-991-9953
Is Sole Proprietor?:No
Enumeration Date:2010-07-05
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO553752081P2900X
AZR72031208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery