MUKUNDKUMAR V PATEL (NPI# 1164411724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164411724 |
| Entity Type | Individual |
| Full Name | MUKUNDKUMAR V PATEL |
| Credential | MD |
| Practice Address |
1100 Gail Gardner Way Prescott AZ 86305-1690 |
| Mailing Address |
1500 Rosecrans Ave #400 Manhattan Beach CA 90266-3763 |
| Practice Telephone | 9287761040 |
| Practice Fax Number | 9287761040 |
| Mailing Telephone | 3103354056 |
| Mailing Fax Number | 3103354098 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2015-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
24175 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RR MEDICARE | 900001128 | 01 |
| AZ | BCBS | AZ0395860 | 01 |
| AZ | 355281 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215293196 | Mukundkumar T. Patel | Dentist | 2010 S Juniper St, Philadelphia, PA 19148-5509 | 2012-04-05 |
| Street Address |
1100 GAIL GARDNER WAY |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-1690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790773893 | Dhirendra Jashbhai Patel | Radiology | 1100 Gail Gardner Way, Prescott, AZ 86305-1690 | 2005-10-12 |
| 1457753592 | Vantage Cancer Care Network of Arizona, S.c. | Radiology | 1100 Gail Gardner Way, Prescott, AZ 86305-1690 | 2014-09-19 |
| 1962804302 | Vantage Cancer Care - Arizona, S.c. | Radiology | 1100 Gail Gardner Way, Prescott, AZ 86305-1690 | 2014-09-17 |
| 1841503885 | Northern Arizona Oncology Centers LLC | Internal Medicine | 1100 Gail Gardner Way, Prescott, AZ 86305-1690 | 2010-07-20 |
| 1821210048 | Dhirendra J. Patel, Md, PC | Internal Medicine | 1100 Gail Gardner Way, Prescott, AZ 86305-1690 | 2007-05-03 |
| 1003899816 | Donn Marshall Davis | Specialist | 1100 Gail Gardner Way, Prescott, AZ 86305-1690 | 2005-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740700798 | Iloabueke Gabriel Chineke | Internal Medicine | 3838 N. Campbell Ave, Tucson, AZ 85719-1454 | 2017-06-21 |
| 1699035717 | Robert Dukjun Yoo | Internal Medicine | 1432 S Dobson Rd Ste 106, Mesa, AZ 85202 | 2012-05-22 |
| 1548538499 | Robert David Ligorsky | Internal Medicine | 11035 E Acoma Dr, Scottsdale, AZ 85255-1865 | 2011-12-07 |
| 1972895340 | Abhishek Harshad Patel | Internal Medicine | 5750 W Thunderbird Rd Ste C300, Glendale, AZ 85306-4666 | 2011-05-04 |
| 1487989927 | Clevius Arnold Curry | Internal Medicine | 10500 E Lost Canyon Dr Lot 8, Scottsdale, AZ 85255-4454 | 2009-10-15 |
| 1972746287 | Keerti Khandelwal | Internal Medicine | 1951 W 25th St Ste F, Yuma, AZ 85364-6924 | 2009-04-16 |
| 1336384809 | Irwin W Tischler | Internal Medicine | 4638 E Berneil Dr, Phoenix, AZ 85028-5500 | 2008-12-11 |
| 1205086378 | Desert Springs Cancer Care, P.l.c. | Internal Medicine | 8950 S 52nd St, Suite 101, Tempe, AZ 85284-1046 | 2008-09-25 |
| 1114182185 | Maria Mercedes Brenneisen | Internal Medicine | 21600 W El Grande Trl, Wickenburg, AZ 85390-3476 | 2008-07-18 |
| 1568625077 | Lida A Mina | Internal Medicine | 2940 E. Banner Gateway Dr., Gilbert, AZ 85234 | 2008-07-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.