NPI | 1104116201 |
---|---|
Former Legal Business Name | SURENDRA PATEL, MD |
Entity Type | Organization |
Authorized Contact | SURENDRA M PATEL Owner 559-440-1110 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A50956) |
Enumeration Date | 2011-04-11 |
Last Update Date | 2013-03-04 |