Provider Demographics
NPI:1538351416
Name:PATEL, RUCHIR PRAVIN (MD)
Entity type:Individual
Prefix:DR
First Name:RUCHIR
Middle Name:PRAVIN
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8330 E HARTFORD DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-7205
Mailing Address - Country:US
Mailing Address - Phone:480-745-3547
Mailing Address - Fax:480-745-3548
Practice Address - Street 1:8330 E HARTFORD DR
Practice Address - Street 2:SUITE 100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-7205
Practice Address - Country:US
Practice Address - Phone:480-745-3547
Practice Address - Fax:480-745-3548
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2024-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000047017207RS0012X
AZ44775207RS0012X, 207RS0012X
IL036.125044207RS0012X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ623499Medicaid
AZZ93348Medicare PIN