Provider Demographics
NPI:1861116634
Name:PATEL, AKASH MUKESHKUMAR (DDS)
Entity type:Individual
Prefix:
First Name:AKASH
Middle Name:MUKESHKUMAR
Last Name:PATEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3215 S LOVERS LN APT F
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-9816
Mailing Address - Country:US
Mailing Address - Phone:778-513-2939
Mailing Address - Fax:
Practice Address - Street 1:210 N 11TH AVE
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-4590
Practice Address - Country:US
Practice Address - Phone:559-772-3418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS107401122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist